Community Health Assessment Scott County & Muscatine County, - - PowerPoint PPT Presentation

2018 PRC Community Health Assessment

Prepared for: Community Health Care, Inc. ● Genesis Health System ● Muscatine County Board of Health

• Quad City Health Initiative ● Rock Island County Health Department ●

Scott County Health Department ● UnityPoint Health – Trinity By Professional Research Consultants, Inc.

Scott County & Muscatine County, Iowa Rock Island County, Illinois

This assessment consists of both primary and secondary data. A follow-up to similar assessments in 2002, 2007, 2012 & 2015 Most items benchmark to state and/or national data.

PRC Community Health Assessment Secondary & Other Data PRC Community Health Survey

• Secondary Data
• Deaths, births
• Disease incidence
• Census-Based Data
• Crime Data
• Local Data
• Provider Data
• Qualitative Input
• Survey of 1,112 area residents over the

phone (landline/cell phone) and internet; these include 99 race/ethnicity oversample interviews.

• 458 in Rock Island County
• 446 in Scott County
• 207 in Muscatine County
• 66 among African American

respondents

• 80 among Hispanic respondents
• 141 survey items; 20-25 minute interview
• Maximum error of ±2.9%

Total Area =

• Scott County
• Muscatine County
• Rock Island County

Quad Cities Area (QCA) =

• Scott County
• Rock Island County
• This is the combined area for which survey trending

is available.

PRC Community Health Assessment

Population & Survey Sample Characteristics

(Total Area, 2018)

48.7% 51.3% 36.5% 43.3% 20.2% 82.2% 7.9% 9.9% 31.0% 48.6% 51.4% 36.4% 43.3% 20.2% 82.0% 7.9% 10.1% 31.0%

0% 20% 40% 60% 80% 100%

Men Women 18 to 39 40 to 64 65+ White Hispanic Other <200% FPL Actual Population Final Survey Sample

PRC Community Health Assessment

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.

Today’s Activities

Positive Findings Areas of Opportunity

► Access to Health Services ► Cancer ► Diabetes ► Heart Disease & Stroke ► Housing ► Infant Health & Family Planning ► Injury & Violence ► Kidney Disease ► Mental Health ► Nutrition, Physical Activity & Weight ► Oral Health ► Substance Abuse ► Tobacco Use

Health Disparities Q & A

Positive Findings Areas of Opportunity

► Access to Health Services ► Cancer ► Diabetes ► Heart Disease & Stroke ► Housing ► Infant Health & Family Planning ► Injury & Violence ► Kidney Disease ► Mental Health ► Nutrition, Physical Activity & Weight ► Oral Health ► Substance Abuse ► Tobacco Use

Health Disparities Q & A

We have seen improvements in Quad Cities Area

• ver the years…
• Death rates: heart disease,

stroke, Alzheimer’s disease

• Health insurance coverage
• Routine medical care
• Colorectal cancer screening
• Flu/pneumonia vaccination in
• lder adults
• Dental insurance coverage
• Infant deaths
• Teen births
• Cigarette smoking
• Smoking inside homes
• Perceived access to social

services

Selected Improvements Over Time

• Death rates: motor vehicle

crashes, firearm-related deaths, homicide, unintentional drug-related deaths

• HIV prevalence
• Infant mortality
• Health Insurance coverage
• Mammography
• Dental visits and dental

insurance

• Leisure-time physical

activity

• Education levels
• Food security

Selected Indicators Better Than Found Nationally

Positive Findings Areas of Opportunity

► Access to Health Services ► Cancer ► Diabetes ► Heart Disease & Stroke ► Housing ► Infant Health & Family Planning ► Injury & Violence ► Kidney Disease ► Mental Health ► Nutrition, Physical Activity & Weight ► Oral Health ► Substance Abuse ► Tobacco Use

Health Disparities Q & A

PRC Community Health Assessment 10.6% 12.9% 10.4% 6.8% 7.0% 2002 2007 2012 2015 2018

Lack of Healthcare Insurance Coverage

(Among Adults Age 18-64)

Healthy People 2020 Target = 0.0% (Universal Coverage)

Sources: ● 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 169]

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

and Prevention (CDC): 2016 Iowa and Illinois data.

• 2017 PRC National Health Survey, Professional Research Consultants, Inc.
• 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.
• Quad Cities Area reflects a combination of Scott and Rock Island counties. Total Area is a combination of the three counties of Scott, Muscatine, and Rock Island.

6.3% 3.5% 7.7% 7.0% 6.5% 7.8% 10.7% 13.7% Scott County Muscatine County Rock Island County Quad Cities Area Total Area IA IL US

0% 10% 20% 30% 40% 50%

Quad Cities Area

14.6% among those living below poverty

PRC Community Health Assessment

Barriers to Access Have Prevented Medical Care in the Past Year

Sources:

• 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Items 7-13]
• 2017 PRC National Health Survey, Professional Research Consultants, Inc.

Notes:

• Asked of all respondents.
• Quad Cities Area reflects a combination of Scott and Rock Island counties. Total Area is a combination of the three counties of Scott, Muscatine, and Rock Island.

22.5% 15.8% 15.3% 14.5% 12.6% 8.2% 2.3% 17.5% 12.5% 15.4% 14.9% 13.4% 8.3% 1.2%

Getting a Dr Appointment Inconvenient Office Hours Cost (Doctor Visit) Cost (Prescriptions) Finding a Doctor Lack of Transportation Language/ Culture

0% 10% 20% 30% 40% 50%

Total Area US

Notably lower in Rock Island County

PRC Community Health Assessment

Trend in Barriers to Access

(Quad Cities Area)

Sources:

• 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Items 7-11, 13]

Notes:

• Asked of all respondents.
• Quad Cities Area reflects a combination of Scott and Rock Island counties.

10.1% 10.6% 11.9% 13.6% 5.5% 4.8% 12.4% 10.3% 11.7% 13.3% 8.9% 5.5% 16.5% 11.7% 16.0% 12.6% 10.2% 7.3%

22.5% 15.7% 15.6% 14.4% 12.6% 8.2%

Getting a Dr Appointment Cost (Doctor Visit) Inconvenient Office Hours Cost (Prescriptions) Finding a Doctor Lack of Transportation

0% 10% 20% 30% 40% 50%

2002 2012 2015 2018

PRC Community Health Assessment

Sources: ● 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 170]

• 2017 PRC National Health Survey, Professional Research Consultants, Inc.
• US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective AHS-5.1]

Children: Have a Particular Place for Child’s Medical Care

(Among Parents of Children Age 0-17; Quad Cities Area)

Adults: Have a Specific Source of Ongoing Medical Care

(Quad Cities Area) 81.5% 77.3% 75.2% 2012 2015 2018 93.8% 96.7% 83.5% 2012 2015 2018

Although it has improved, there remains a relatively low physician-to-population ratio in the area (particularly Rock Island and Muscatine counties).

PRC Community Health Assessment

Sources: ● 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 311] Notes:

• Asked of those respondents who have needed healthcare services.
• Quad Cities Area reflects a combination of Scott and Rock Island counties. Total Area is a combination of the three counties of Scott, Muscatine, and Rock Island.

Ease of Obtaining Local Healthcare Services Is “Fair/Poor”

(Total Area Adults Who Have Needed Healthcare Services, 2018)

Ease of Obtaining Child Health Services Is “Fair/Poor”

(Total Area Adults Who Have Needed to Access Child Health Services, 2018)

11.0% 6.6% 12.9% 17.6% 2002 2012 2015 2018

Particularly high among low-income households.

10.6% 10.1% 9.5% 9.2% 14.6% 2002 2007 2012 2015 2018

Positive Findings Areas of Opportunity

► Access to Health Services ► Cancer ► Diabetes ► Heart Disease & Stroke ► Housing ► Infant Health & Family Planning ► Injury & Violence ► Kidney Disease ► Mental Health ► Nutrition, Physical Activity & Weight ► Oral Health ► Substance Abuse ► Tobacco Use

Health Disparities Q & A

Leading Causes of Death

(2016)

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

• Informatics. Data extracted March 2018.

Notes:

• Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10).
• Quad Cities Area reflects a combination of Scott and Rock Island counties. Total Area is a combination of the three counties of Scott, Muscatine, and Rock Island.

Quad Cities Area Total Area

Heart Disease 23.1%

Cancer 21.7%

Lung Disease 6.4% Stroke 4.3% Accidents 4.3% Alzheimer's 3.7% Various Other 36.5% Heart Disease 23.0%

Cancer 22.2%

Lung Disease 6.5% Stroke 4.2% Accidents 4.2% Alzheimer's 3.6% Various Other 36.3%

Age-adjusted mortality rates are similar to statewide and national rates.

PRC Community Health Assessment

Cancer Incidence Rates by Site

(Annual Average Age-Adjusted Incidence per 100,000 Population, 2010-2014)

Sources:

• State Cancer Profiles.
• Retrieved March 2018 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.

• Quad Cities Area reflects a combination of Scott and Rock Island counties. Total Area is a combination of the three counties
• f Scott, Muscatine, and Rock Island.

122.4 119.2 69.7 43.6 9.9 122.4 121.6 68.9 44.5 9.9 123.5 114.8 61.2 39.8 7.6 Female Breast Cancer Prostate Cancer Lung Cancer Colon/Rectal Cancer Cervical Cancer

20 40 60 80 100 120 140

Quad Cities Area Total Area US

Also note:

• Prostate cancer

incidence is particularly high in African American men. Survey found that in the QCA:

• Pap testing has

fallen since 2002

(from 85.2% to 77.8%).

• Skin cancer

prevalence has increased

(from 4.1% to 7.4%).

Positive Findings Areas of Opportunity

► Access to Health Services ► Cancer ► Diabetes ► Heart Disease & Stroke ► Housing ► Infant Health & Family Planning ► Injury & Violence ► Kidney Disease ► Mental Health ► Nutrition, Physical Activity & Weight ► Oral Health ► Substance Abuse ► Tobacco Use

Health Disparities Q & A

PRC Community Health Assessment 7.0% 7.8% 11.3% 11.3% 14.0% 2002 2007 2012 2015 2018

Prevalence of Diabetes

Sources: ● 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 140]

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

and Prevention (CDC): 2016 Iowa and Illinois data.

• 2017 PRC National Health Survey, Professional Research Consultants, Inc.

Notes:

• Asked of all respondents.
• Quad Cities Area reflects a combination of Scott and Rock Island counties. Total Area is a combination of the three counties of Scott, Muscatine, and Rock Island.

14.2% 17.9% 13.7% 14.0% 14.5% 9.3% 10.4% 13.3% Scott County Muscatine County Rock Island County Quad Cities Area Total Area IA IL US

0% 10% 20% 30% 40% 50% Another 8.1% of adults report that they have been diagnosed with “pre-diabetes” or “borderline” diabetes. (vs. 9.5% nationwide)

Quad Cities Area Primarily age-related.

Positive Findings Areas of Opportunity

► Access to Health Services ► Cancer ► Diabetes ► Heart Disease & Stroke ► Housing ► Infant Health & Family Planning ► Injury & Violence ► Kidney Disease ► Mental Health ► Nutrition, Physical Activity & Weight ► Oral Health ► Substance Abuse ► Tobacco Use

Health Disparities Q & A

Leading Causes of Death

(2016)

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

• Informatics. Data extracted March 2018.

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.
• Quad Cities Area reflects a combination of Scott and Rock Island counties. Total Area is a combination of the three counties of Scott, Muscatine, and Rock Island.

Quad Cities Area Total Area

Heart Disease 23.1%

Cancer 21.7% Lung Disease 6.4%

Stroke 4.3%

Accidents 4.3% Alzheimer's 3.7% Various Other 36.5%

Heart Disease 23.0%

Cancer 22.2% Lung Disease 6.5%

Stroke 4.2%

Accidents 4.2% Alzheimer's 3.6% Various Other 36.3%

Overall, age-adjusted heart disease and stroke mortality are declining and are similar to state and national rates. However, heart disease mortality is higher in Rock Island County than in Scott or Muscatine counties.

PRC Community Health Assessment

Prevalence of High Blood Pressure

(Quad Cities Area)

Healthy People 2020 Target = 26.9% or Lower

Prevalence of High Blood Cholesterol

(Quad Cities Area)

Healthy People 2020 Target = 13.5% or Lower 27.3% 29.0% 36.2% 31.0% 36.6% 2002 2007 2012 2015 2018 28.7% 31.7% 35.5% 30.9% 33.5% 2002 2007 2012 2015 2018

In both cases, this is primarily age-dependent (increasing to over 50% among those 65+).

PRC Community Health Assessment

Source: Hospital Operations Data. 2015-2017.

Top 5 Reasons for Emergency Department Visits, Including Treated and Released

(Quad Cities 2015-2017 Cumulative Data)

Top 5 Reasons for Emergency Department Visits, Including Treated and Released

(Muscatine 2015-2017 Cumulative Data) 21,617 10,578 9,814 9,090 5,078

Chest Pain Abdominal Pain Upper- Respiratory Infection Headache Urinary Tract Infection 5,000 10,000 15,000 20,000 25,000

2,049 1,180 757 660 647

Chest Pain Upper- Respiratory Infection Headache Pneumonia Noninfective Gastro- enteritis and Colitis 5,000 10,000 15,000 20,000 25,000

Positive Findings Areas of Opportunity

► Access to Health Services ► Cancer ► Diabetes ► Heart Disease & Stroke ► Housing ► Infant Health & Family Planning ► Injury & Violence ► Kidney Disease ► Mental Health ► Nutrition, Physical Activity & Weight ► Oral Health ► Substance Abuse ► Tobacco Use

Health Disparities Q & A

PRC Community Health Assessment 0.4% 2.0% 1.6% 2.6% 2007 2012 2015 2018

Was Homeless at Some Point in the Past 2 Years

Sources: ● 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 306] Notes:

• Asked of all respondents.
• Quad Cities Area reflects a combination of Scott and Rock Island counties. Total Area is a combination of the three counties of Scott, Muscatine, and Rock Island.

Quad Cities Area

2.6% 7.1% 2.7% 2.6% 3.2% Scott County Muscatine County Rock Island County Quad Cities Area Total Area

0% 10% 20% 30% 40% 50% Includes 9.5%

• f those living

below poverty.

PRC Community Health Assessment

Experienced Ongoing Problems with Leaks, Rodents, Insects, Mold, or Other Housing Conditions in the Past 12 Months

(Total Area, 2018)

Sources:

• 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 305]

Notes:

• Asked of all respondents.
• Hispanics can be of any race. Other race categories are non-Hispanic categorizations (e.g., “White” reflects non-Hispanic White 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.

14.6% 16.0% 26.4% 10.0% 7.3% 41.7% 24.6% 9.6% 12.6% 30.9% 22.3% 15.3% Men Women 18 to 39 40 to 64 65+ Very Low Income Low Income Mid/High Income White Black Hispanic Total Area

0% 20% 40% 60% 80% 100%

Positive Findings Areas of Opportunity

► Access to Health Services ► Cancer ► Diabetes ► Heart Disease & Stroke ► Housing ► Infant Health & Family Planning ► Injury & Violence ► Kidney Disease ► Mental Health ► Nutrition, Physical Activity & Weight ► Oral Health ► Substance Abuse ► Tobacco Use

Health Disparities Q & A

PRC Community Health Assessment 93.6% 83.9% 2015 2018

Would Want All Recommended Vaccinations for a Newborn

(Among Total Area Parents of Children Age 0-17)

Sources: ● 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 343] Notes:

• Asked of all respondents with children 0 to 17 in the household.

83.9% 83.6% Quad Cities Area Total Area

0% 20% 40% 60% 80% 100%

Quad Cities Area

Similar by county

Reasons given among the 33 parents who would not:

• Side effects/risky (32%)
• Don’t know (24%)
• Personal preference (18%)
• Unnecessary (10%)
• Religion/culture (5%)
• Too many at once (5%)
• Cost (4%)
• Age of child (3%)

Positive Findings Areas of Opportunity

► Access to Health Services ► Cancer ► Diabetes ► Heart Disease & Stroke ► Housing ► Infant Health & Family Planning ► Injury & Violence ► Kidney Disease ► Mental Health ► Nutrition, Physical Activity & Weight ► Oral Health ► Substance Abuse ► Tobacco Use

Health Disparities Q & A

Leading Causes of Accidental Death

(2014-2016)

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

• Informatics. Data extracted March 2018.

Notes:

• Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10).
• Quad Cities Area reflects a combination of Scott and Rock Island counties. Total Area is a combination of the three counties of Scott, Muscatine, and Rock Island.

Quad Cities Area Total Area

Falls 34.0% Poisoning/ Noxious Substances 24.1% Motor Vehicle Accidents 20.3% Other 21.6% Falls 33.9% Poisoning/ Noxious Substances 24.8% Motor Vehicle Accidents 21.2% Other 20.1%

PRC Community Health Assessment

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

• Informatics. Data extracted March 2018.
• US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective IVP-13.1, IVP-23.2, SA-12]

Notes:

• Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10).
• Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population.
• *Drug-induced deaths include both intentional and unintentional drug overdoses.
• Quad Cities Area reflects a combination of Scott and Rock Island counties. Total Area is a combination of the three counties of Scott, Muscatine, and Rock Island.

Fall Injury Death Rates Among Seniors

(2014-2016 Annual Average Deaths per 100,000 Population)

Injured as the Result of a Fall in Past Year

(Among Respondents Age 45 and Older, Quad Cities Area) 81.9 82.0 89.7 47.1 60.6

Falls (65+) HP2020 Goal = 47.0 or Lower

25 50 75 100

Quad Cities Area Total Area IA IL US 9.1% 15.1% 2015 2018

0% 10% 20% 30% 40% 50%

PRC Community Health Assessment 10.7% 16.3% 23.1% 2012 2015 2018

Have Ever Been Hit, Slapped, Pushed, Kicked, or Hurt in Any Way by an Intimate Partner

Sources: ● 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 47]

• 2017 PRC National Health Survey, Professional Research Consultants, Inc.

Notes:

• Asked of all respondents.
• Quad Cities Area reflects a combination of Scott and Rock Island counties. Total Area is a combination of the three counties of Scott, Muscatine, and Rock Island.

22.6% 26.6% 23.7% 23.1% 23.6% 14.2% Scott County Muscatine County Rock Island County Quad Cities Area Total Area US

0% 20% 40% 60% 80% 100%

Quad Cities Area

PRC Community Health Assessment

Have Ever Been Hit, Slapped, Pushed, Kicked, or Hurt in Any Way by an Intimate Partner

(Total Area, 2018)

Sources:

• 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 47]

Notes:

• Asked of all respondents.
• Hispanics can be of any race. Other race categories are non-Hispanic categorizations (e.g., “White” reflects non-Hispanic White 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.

18.7% 28.1% 29.2% 23.8% 13.5% 42.8% 29.2% 20.1% 21.7% 23.6% 36.0% 23.6% Men Women 18 to 39 40 to 64 65+ Very Low Income Low Income Mid/High Income White Black Hispanic Total Area

0% 20% 40% 60% 80% 100%

The percentage of QCA adults reporting experiencing abuse or neglect growing up has increased from 14.0% (2015) to 18.9% (2018) — again, higher in low or very low-income households.

Positive Findings Areas of Opportunity

► Access to Health Services ► Cancer ► Diabetes ► Heart Disease & Stroke ► Housing ► Infant Health & Family Planning ► Injury & Violence ► Kidney Disease ► Mental Health ► Nutrition, Physical Activity & Weight ► Oral Health ► Substance Abuse ► Tobacco Use

Health Disparities Q & A

PRC Community Health Assessment

Kidney Disease: Age-Adjusted Mortality Trends

(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 March 2018.

Notes:

• Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10).
• Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population.
• Quad Cities Area reflects a combination of Scott and Rock Island counties.

2007-2009 2008-2010 2009-2011 2010-2013 2011-2013 2013-2014 2013-2015 2014-2016 Quad Cities Area 10.5 9.9 10.0 10.0 10.0 10.3 11.3 14.3 Iowa 7.4 7.8 7.8 7.9 8.2 8.1 8.1 8.0 Illinois 19.8 19.7 18.9 17.8 17.1 17.1 17.2 17.2 United States 15.0 14.5 14.0 13.3 13.2 13.2 13.3 13.2

5 10 15 20 25

Particularly high in Rock Island County.

Positive Findings Areas of Opportunity

► Access to Health Services ► Cancer ► Diabetes ► Heart Disease & Stroke ► Housing ► Infant Health & Family Planning ► Injury & Violence ► Kidney Disease ► Mental Health ► Nutrition, Physical Activity & Weight ► Oral Health ► Substance Abuse ► Tobacco Use

Health Disparities Q & A

PRC Community Health Assessment 8.9% 10.6% 11.9% 17.6% 2007 2012 2015 2018

Experience “Fair” or “Poor” Mental Health

Sources: ● 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 99]

• 2017 PRC National Health Survey, Professional Research Consultants, Inc.

Notes:

• Asked of all respondents.
• Quad Cities Area reflects a combination of Scott and Rock Island counties. Total Area is a combination of the three counties of Scott, Muscatine, and Rock Island.

16.9% 15.3% 18.3% 17.6% 17.3% 13.0% Scott County Muscatine County Rock Island County Quad Cities Area Total Area US

0% 10% 20% 30% 40% 50%

Quad Cities Area

PRC Community Health Assessment

Experience “Fair” or “Poor” Mental Health

(Total Area, 2018)

Sources:

• 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 99]

Notes:

• Asked of all respondents.
• Hispanics can be of any race. Other race categories are non-Hispanic categorizations (e.g., “White” reflects non-Hispanic White 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.

14.4% 20.1% 27.0% 15.4% 5.0% 38.0% 31.4% 13.2% 17.2% 20.5% 14.4% 17.3% Men Women 18 to 39 40 to 64 65+ Very Low Income Low Income Mid/High Income White Black Hispanic Total Area

0% 20% 40% 60% 80% 100%

PRC Community Health Assessment

Sources: ● 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 100]

• 2017 PRC National Health Survey, Professional Research Consultants, Inc.

Notes:

• Asked of all respondents.
• 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.
• Quad Cities Area reflects a combination of Scott and Rock Island counties. Total Area is a combination of the three counties of Scott, Muscatine, and Rock Island.

Have Experienced Symptoms of Chronic Depression (Quad Cities Area) Perceive Most Days As “Extremely” or “Very” Stressful (Quad Cities Area)

25.2% 24.0% 24.0% 29.8% 34.6% 2002 2007 2012 2015 2018

18.1% of Total Area adults are taking medication or receiving treatment for mental health (vs. 13.9% nationally).

9.5% 9.6% 15.8% 2012 2015 2018

PRC Community Health Assessment

Suicide: Age-Adjusted Mortality Trends

(Annual Average Deaths per 100,000 Population)

Healthy People 2020 Target = 10.2 or Lower

Sources:

• CDC WONDER Online Query System. Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and
• Informatics. Data extracted March 2018.
• US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective MHMD-1]

Notes:

• Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10).
• Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population.
• Quad Cities Area reflects a combination of Scott and Rock Island counties.

2007-2009 2008-2010 2009-2011 2010-2013 2011-2013 2013-2014 2013-2015 2014-2016 Quad Cities Area 11.4 12.2 13.0 13.9 16.2 16.4 17.6 15.7 IA 11.7 12.2 12.6 12.9 13.7 13.3 13.7 13.8 IL 9.0 9.1 9.1 9.4 9.7 10.1 10.2 10.5 US 11.3 11.6 11.8 12.1 12.3 12.5 12.7 13.0

5 10 15 20

PRC Community Health Assessment 12.6% 13.5% 15.2% 22.2% 35.1% 2002 2007 2012 2015 2018

Ease of Obtaining Local Mental Health Services Is “Fair/Poor”

(Total Area Adults Who Have Needed Mental Health Services, 2018)

Sources: ● 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 312] Notes:

• Asked of those respondents who have needed mental health services.
• Quad Cities Area reflects a combination of Scott and Rock Island counties. Total Area is a combination of the three counties of Scott, Muscatine, and Rock Island.

34.8% 29.1% 35.5% 35.1% 34.3% Scott County Muscatine County Rock Island County Quad Cities Area Total Area

0% 20% 40% 60% 80% 100%

Quad Cities Area 37.1% Excellent/Very Good 28.7% Good

Positive Findings Areas of Opportunity

► Access to Health Services ► Cancer ► Diabetes ► Heart Disease & Stroke ► Housing ► Infant Health & Family Planning ► Injury & Violence ► Kidney Disease ► Mental Health ► Nutrition, Physical Activity & Weight ► Oral Health ► Substance Abuse ► Tobacco Use

Health Disparities Q & A

PRC Community Health Assessment 64.1% 66.8% 71.8% 68.4% 72.3% 2002 2007 2012 2015 2018

Prevalence of Total Overweight (Overweight or Obese)

(Percent of Adults With a Body Mass Index of 25.0 or Higher)

Sources: ● 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 154]

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

and Prevention (CDC): 2016 Iowa and Illinois data.

• 2017 PRC National Health Survey, Professional Research Consultants, Inc.

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.

• Quad Cities Area reflects a combination of Scott and Rock Island counties. Total Area is a combination of the three counties of Scott, Muscatine, and Rock Island.

72.7% 77.3% 71.8% 72.3% 72.9% 68.7% 65.0% 67.8% Scott County Muscatine County Rock Island County Quad Cities Area Total Area IA IL US

0% 20% 40% 60% 80% 100%

Quad Cities Area

PRC Community Health Assessment 24.1% 26.7% 33.5% 33.2% 37.4% 2002 2007 2012 2015 2018

Prevalence of Obesity

(Percent of Adults With a Body Mass Index of 30.0 or Higher)

Healthy People 2020 Target = 30.5% or Lower

Sources: ● 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 154]

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

and Prevention (CDC): 2016 Iowa and Illinois data.

• 2017 PRC National Health Survey, Professional Research Consultants, Inc.
• 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.
• 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.

• Quad Cities Area reflects a combination of Scott and Rock Island counties. Total Area is a combination of the three counties of Scott, Muscatine, and Rock Island.

36.5% 49.2% 38.3% 37.4% 38.8% 32.0% 31.6% 32.8% Scott County Muscatine County Rock Island County Quad Cities Area Total Area IA IL US

0% 20% 40% 60% 80% 100%

Quad Cities Area

PRC Community Health Assessment

Prevalence of Obesity

(Percent of Adults With a BMI of 30.0 or Higher; Total Area, 2018)

Healthy People 2020 Target = 30.5% or Lower

Sources:

• 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 154]
• 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.
• Hispanics can be of any race. Other race categories are non-Hispanic categorizations (e.g., “White” reflects non-Hispanic White 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.

38.2% 39.4% 34.3% 45.9% 32.6% 32.2% 49.4% 38.9% 38.4% 44.9% 43.1% 38.8% Men Women 18 to 39 40 to 64 65+ Very Low Income Low Income Mid/High Income White Black Hispanic Total Area

0% 20% 40% 60% 80% 100%

PRC Community Health Assessment 41.4% 35.7% 27.6% 2012 2015 2018

Consume Five or More Servings of Fruits/Vegetables Per Day

Sources: ● 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 148]

• 2017 PRC National Health Survey, Professional Research Consultants, Inc.

Notes:

• Asked of all respondents.
• For this issue, respondents were asked to recall their food intake on the previous day.
• Quad Cities Area reflects a combination of Scott and Rock Island counties. Total Area is a combination of the three counties of Scott, Muscatine, and Rock Island.

28.6% 32.8% 26.4% 27.6% 28.2% 33.5% Scott County Muscatine County Rock Island County Quad Cities Area Total Area US

0% 20% 40% 60% 80% 100%

Quad Cities Area Lowest in men. This has also decreased significantly in children.

PRC Community Health Assessment

Sources: ● 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 152]

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

CDC): 2016 Iowa and Illinois data.

• 2017 PRC National Health Survey, Professional Research Consultants, Inc.
• US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective PA-2.4]

Notes:

• Asked of all respondents.
• Meeting both guidelines is defined as the number of persons age 18+ who report light or moderate aerobic activity for at least 150 minutes per week or who report vigorous physical

activity 75 minutes per week or an equivalent combination of moderate and vigorous-intensity activity and report doing physical activities specifically designed to strengthen muscles at least twice per week.

• Quad Cities Area reflects a combination of Scott and Rock Island counties. Total Area is a combination of the three counties of Scott, Muscatine, and Rock Island.

Adults: Meet Physical Activity Recommendations

Healthy People 2020 Target = 20.1% or Higher

Child Is Physically Active for One or More Hours per Day

(Among Children Age 2-17, Quad Cities Area)

22.0% 15.2% 25.5% 23.7% 22.7% 19.4% 21.3% 22.8% Scott Musca- tine Rock Island QCA Total Area IA IL US 0% 20% 40% 60% 80% 100%

57.5% 45.9% 2015 2018

(Total Area = 44.4%)

Positive Findings Areas of Opportunity

► Access to Health Services ► Cancer ► Diabetes ► Heart Disease & Stroke ► Housing ► Infant Health & Family Planning ► Injury & Violence ► Kidney Disease ► Mental Health ► Nutrition, Physical Activity & Weight ► Oral Health ► Substance Abuse ► Tobacco Use

Health Disparities Q & A

PRC Community Health Assessment 80.5% 82.9% 74.9% 2012 2015 2018

Have a Particular Place for Dental Care

Sources: ● 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 320] Notes:

• Asked of all respondents.
• Quad Cities Area reflects a combination of Scott and Rock Island counties. Total Area is a combination of the three counties of Scott, Muscatine, and Rock Island.

76.7% 76.6% 72.8% 74.9% 75.1% Scott County Muscatine County Rock Island County Quad Cities Area Total Area

0% 20% 40% 60% 80% 100%

Quad Cities Area

PRC Community Health Assessment

Have a Particular Place for Dental Care

(Total Area, 2018)

Sources:

• 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 320]

Notes:

• Asked of all respondents.
• Hispanics can be of any race. Other race categories are non-Hispanic categorizations (e.g., “White” reflects non-Hispanic White 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.

70.6% 79.3% 62.0% 80.0% 86.1% 46.1% 58.4% 84.3% 76.6% 71.8% 66.4% 81.9% 58.7% 75.1%

Men Women 18 to 39 40 to 64 65+ Very Low Income Low Income Mid/High Income White Black Hispanic Dental Insurance No Dental Insurance Total Area 0% 20% 40% 60% 80% 100%

PRC Community Health Assessment 10.4% 13.7% 13.0% 14.6% 15.7% 2002 2007 2012 2015 2018

Ease of Obtaining Dental Care Is “Fair/Poor”

(Total Area Adults Who Have Needed Dental Care, 2018)

Sources: ● 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 315] Notes:

• Asked of those respondents who have needed dental care.
• Quad Cities Area reflects a combination of Scott and Rock Island counties. Total Area is a combination of the three counties of Scott, Muscatine, and Rock Island.

12.3% 13.0% 19.5% 15.7% 15.4% Scott County Muscatine County Rock Island County Quad Cities Area Total Area

0% 10% 20% 30% 40% 50%

Quad Cities Area 58.9% Excellent/Very Good 25.8% Good

PRC Community Health Assessment

Ease of Obtaining Dental Care Is “Fair/Poor”

(Total Area Adults Who Have Needed Dental Care, 2018)

Sources:

• 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 315]

Notes:

• Asked of those respondents who have needed dental care.
• Hispanics can be of any race. Other race categories are non-Hispanic categorizations (e.g., “White” reflects non-Hispanic White 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.

12.7% 17.8% 17.9% 16.4% 8.5% 35.3% 24.8% 9.4% 12.5% 24.8% 24.8% 15.4% Men Women 18 to 39 40 to 64 65+ Very Low Income Low Income Mid/High Income White Black Hispanic Total Area

0% 20% 40% 60% 80% 100%

Positive Findings Areas of Opportunity

► Access to Health Services ► Cancer ► Diabetes ► Heart Disease & Stroke ► Housing ► Infant Health & Family Planning ► Injury & Violence ► Kidney Disease ► Mental Health ► Nutrition, Physical Activity & Weight ► Oral Health ► Substance Abuse ► Tobacco Use

Health Disparities Q & A

PRC Community Health Assessment

Cirrhosis/Liver Disease: Age-Adjusted Mortality Trends

(Annual Average Deaths per 100,000 Population)

Healthy People 2020 Target = 8.2 or Lower

Sources:

• CDC WONDER Online Query System. Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and
• Informatics. Data extracted March 2018.
• US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective SA-11]

Notes:

• Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10).
• Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population.
• Quad Cities Area reflects a combination of Scott and Rock Island counties.

2007-2009 2008-2010 2009-2011 2010-2013 2011-2013 2013-2014 2013-2015 2014-2016 Quad Cities Area 9.5 10.4 9.3 10.7 9.6 11.4 11.3 12.3 Iowa 6.9 7.2 7.4 7.7 7.8 8.4 8.8 9.1 Illinois 8.2 8.3 8.2 8.3 8.5 8.9 9.0 9.1 United States 9.1 9.3 9.5 9.8 9.9 10.2 10.5 10.6

2 4 6 8 10 12 14

PRC Community Health Assessment

Excessive Drinkers

Healthy People 2020 Target = 25.4% or Lower

Sources: ● 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 168]

• 2017 PRC National Health Survey, Professional Research Consultants, Inc.
• US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective SA-15]

Notes:

• Asked of all respondents.
• 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.

• Quad Cities Area reflects a combination of Scott and Rock Island counties. Total Area is a combination of the three counties of Scott, Muscatine, and Rock Island.

21.9% 26.6% 24.1% 22.9% 23.4% 22.5% Scott County Muscatine County Rock Island County Quad Cities Area Total Area US

0% 20% 40% 60% 80% 100%

20.1% 22.4% 23.5% 20.3% 22.9% 2002 2007 2012 2015 2018

Quad Cities Area Higher in men, young adults, those with higher incomes.

PRC Community Health Assessment

Drug-Induced Deaths: Age-Adjusted Mortality Trends

(Annual Average Deaths per 100,000 Population)

Healthy People 2020 Target = 11.3 or Lower

Sources:

• CDC WONDER Online Query System. Centers for Disease Control and Prevention, Epidemiology Program Office, Division of Public Health Surveillance and
• Informatics. Data extracted March 2018.
• UD Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective SA-12].

Notes:

• Deaths are coded using the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10).
• Rates are per 100,000 population, age-adjusted to the 2000 US Standard Population.
• Quad Cities Area reflects a combination of Scott and Rock Island counties.

2007-2009 2008-2010 2009-2011 2010-2013 2011-2013 2013-2014 2013-2015 2014-2016 Quad Cities Area 8.4 8.4 8.6 9.4 11.4 10.5 10.9 9.9 IA 4.4 5.0 5.5 6.0 6.4 6.8 7.4 7.8 IL 8.6 8.7 8.8 9.5 10.0 10.6 11.2 13.4 US 9.2 9.7 10.2 10.6 10.8 11.3 12.4 14.3

2 4 6 8 10 12 14 16

Highest (14.1) in Scott County.

PRC Community Health Assessment

Life Has Been Negatively Affected by Substance Abuse (by Self or Someone Else)

Sources:

• 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 61]
• 2017 PRC National Health Survey, Professional Research Consultants, Inc.

Notes:

• Asked of all respondents.
• Includes response of “a great deal,” “somewhat,” and “a little.”
• Quad Cities Area reflects a combination of Scott and Rock Island counties. Total Area is a combination of the three counties of Scott, Muscatine, and Rock Island.

35.5% 44.6% 36.8% 36.1% 37.2% 37.3% Scott County Muscatine County Rock Island County Quad Cities Area Total Area US

0% 20% 40% 60% 80% 100%

Higher among women, young adults, and especially lower-income households.

PRC Community Health Assessment

13.7% 13.7% 11.6% 15.1% 27.3%

2002 2007 2012 2015 2018

Ease of Obtaining Substance Abuse Services Is “Fair/Poor”

(Total Area Adults Who Have Needed Substance Abuse Services, 2018)

Sources: ● 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 313] Notes:

• Asked of those respondents who have needed substance abuse services.
• Quad Cities Area reflects a combination of Scott and Rock Island counties. Total Area is a combination of the three counties of Scott, Muscatine, and Rock Island.

23.5% 18.0% 31.3% 27.3% 26.1% Scott County Muscatine County Rock Island County Quad Cities Area Total Area

0% 20% 40% 60% 80% 100%

Quad Cities Area 38.7% Excellent/Very Good 35.3% Good

Positive Findings Areas of Opportunity

► Access to Health Services ► Cancer ► Diabetes ► Heart Disease & Stroke ► Housing ► Infant Health & Family Planning ► Injury & Violence ► Kidney Disease ► Mental Health ► Nutrition, Physical Activity & Weight ► Oral Health ► Substance Abuse ► Tobacco Use

Health Disparities Q & A

PRC Community Health Assessment

25.9% 21.4% 19.4% 18.0% 19.2%

2002 2007 2012 2015 2018

Current Smokers

Healthy People 2020 Target = 12.0% or Lower

Sources: ● 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 49]

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

and Prevention (CDC): 2016 Iowa and Illinois data.

• 2017 PRC National Health Survey, Professional Research Consultants, Inc.
• US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective TU-1.1]

Notes:

• Asked of all respondents.
• Includes regular and occasional smokers (those who smoke cigarettes every day or on some days).
• Quad Cities Area reflects a combination of Scott and Rock Island counties. Total Area is a combination of the three counties of Scott, Muscatine, and Rock Island.

17.0% 24.1% 21.7% 19.2% 19.8% 16.7% 15.8% 16.3% Scott County Muscatine County Rock Island County Quad Cities Area Total Area IA IL US

0% 10% 20% 30% 40% 50%

Quad Cities Area

PRC Community Health Assessment

Current Smokers

(Total Area, 2018)

Healthy People 2020 Target = 12.0% or Lower

Sources:

• 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 49]
• US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective TU-1.1]

Notes:

• Asked of all respondents.
• Hispanics can be of any race. Other race categories are non-Hispanic categorizations (e.g., “White” reflects non-Hispanic White 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.

• Includes regular and occasion smokers (every day and some days).

20.1% 19.5% 27.4% 18.8% 9.9% 38.4% 29.0% 15.0% 19.1% 24.3% 18.4% 19.8% Men Women 18 to 39 40 to 64 65+ Very Low Income Low Income Mid/High Income White Black Hispanic Total Area

0% 10% 20% 30% 40% 50%

Although it has improved, a relatively high percentage of households (16.4%) continue to have someone who regularly smokes inside the home.

PRC Community Health Assessment 6.8% 7.2% 2015 2018

Currently Use Vaping Products

(Every Day or on Some Days)

Sources: ● 2018 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 194]

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

and Prevention (CDC): 2016 Iowa and Illinois data.

• 2017 PRC National Health Survey, Professional Research Consultants, Inc.

Notes:

• Asked of all respondents.
• Includes regular and occasional users (those who smoke e-cigarettes every day or on some days).
• Quad Cities Area reflects a combination of Scott and Rock Island counties. Total Area is a combination of the three counties of Scott, Muscatine, and Rock Island.

6.3% 5.7% 8.2% 7.2% 7.0% 4.3% 4.3% 3.8% Scott County Muscatine County Rock Island County Quad Cities Area Total Area IA IL US

0% 5% 10% 15% 20% 25%

Quad Cities Area Higher in men, young adults, and Hispanics. In addition, an increasing percentage of adults are using cigars, pipes, or hookahs.

Positive Findings Areas of Opportunity

► Access to Health Services ► Cancer ► Diabetes ► Heart Disease & Stroke ► Housing ► Infant Health & Family Planning ► Injury & Violence ► Kidney Disease ► Mental Health ► Nutrition, Physical Activity & Weight ► Oral Health ► Substance Abuse ► Tobacco Use

Health Disparities Q & A

PRC Community Health Assessment

Health Disparities by Social Determinant Risk

(Total Area Adults, 2018)

Sources:

• 2018 PRC Community Health Survey, Professional Research Consultants, Inc.

Note:

• In this case, “at-risk” includes survey respondents who answered affirmatively to any of these indicators: below 100%
• f the federal poverty level; live in

unhealthy/unsafe housing conditions (including lead hazards); incidence of homelessness; mortgage/rent insecure; lack of high school diploma; currently out of work; victim of a violent crime in the past three years; abused as a child; victim of domestic violence; low health literacy levels; food insecure.

44.5% 42.1% 30.9% 24.1% 21.5% 15.0% 13.2% 10.9% 8.3% 4.7% 17.0% 33.0% 10.6% 10.8% 5.9% 13.6% 8.0% 8.8% 6.0%

1…

Symptoms

• f

Chronic Depression Obese Diagnosed Depression "Fair/Poor" Health Days Are "Extremely/ Very" Stressful Diabetes Current Asthma COPD Heart Disease Kidney Disease

0% 10% 20% 30% 40% 50%

At Risk Social Determinant Risk — those who exhibit one or more of the following:

• Live below poverty
• No high school diploma
• Out of work
• Mortgage/rent stress
• Unhealthy housing

conditions

• Housing instability
• Victim of violence
• Abused as a child
• Low health literacy
• Food insecurity

PRC Community Health Assessment

Health Disparities by Income Level

(Total Area Adults, 2018; By Household Income Level)

Sources:

• 2018 PRC Community Health Survey, Professional Research Consultants, Inc.

62.5% 53.1% 47.5% 41.7% 38.4% 37.8% 34.5% 15.7% 14.5% 13.3% 11.3% 9.5% 8.2%

39.0% 32.9% 7.0% 9.6% 15.0% 14.4% 12.1% 7.9% 1.0% 1.4% 7.8% 1.3% 3.6%

Child Not Checked for Lead Affected by Substance Abuse Wouldn't Vaccinate a Newborn Unhealthy Housing Conditions Current Smoker Abused/ Neglected as a Child Smoke in the Home (w/Kids) COPD Victim of Violent Crime Use Illicit Drugs Cancer Homeless in Past 2 Yrs Child Has Asthma

0% 20% 40% 60% 80% 100%

Very Low Income Low Income Mid/High Income

Positive Findings Areas of Opportunity

► Access to Health Services ► Cancer ► Diabetes ► Heart Disease & Stroke ► Housing ► Infant Health & Family Planning ► Injury & Violence ► Kidney Disease ► Mental Health ► Nutrition, Physical Activity & Weight ► Oral Health ► Substance Abuse ► Tobacco Use

Health Disparities Q & A

PRC Community Health Assessment

Reading the Summary Tables

Counties compared to each

• ther, independent of data

at right

Overall QCA finding

State data, and how Total Area compares US data & Healthy People, and how QCA compares

Baseline trend data, and how QCA compares

http://QuadCities.

Current data will soon be available at:

Overall Total Area finding

Professional Research Consultants, Inc. Bruce Lockwood Director, Community Health Bruce@PRCcustomresearch.com | 800-247-9471 www.PRCCustomResearch.com

Thank You!