Preliminary Findings of Durham County's Community Health Opinion S - - PowerPoint PPT Presentation

Preliminary Findings of Durham County's Community Health Opinion S urvey

Melanie Napier Kristen Ricchetti-Masterson UNC, Gillings School of Global Public Health, Department of Epidemiology April 20, 2011 In Collaboration with: Durham County Health Department & Partnership for a Healthy Durham

Outline of Presentation

• Background on Community Health Assessment

(CHA) process

• Survey design/ implementation
• Limitations
• Highlights of findings

▫ Demographics of participants ▫ Quality of life ▫ Community problems ▫ Personal health ▫ Emergency Preparedness

• Questions

North Carolina CHA Process

Phase 1 • Establish CHA Team Phase 2 • Collect Primary Data Phase 3 • Collect Secondary Data Phase 4 • Analyze & Interpret Data Phase 5 • Determine Health Priorities Phase 6 • Create CHA Document Phase 7 • Disseminate CHA Document Phase 8 • Develop Health Action Plans

Survey Design/ Implementation

Data Collection

• Two-stage cluster sampling design
• Thursday, July 16 through Sunday, July 20, 2010
• Door-to-door interviews

▫ 30 census block groups (or clusters), 7 interviews per cluster ▫ Ten teams of two volunteer interviewers, each responsible for 3 census blocks, or 21 completed surveys ▫ Data collected by handheld GPS-enabled computers ▫ Goal of 210 surveys – we did 206!

Map of the 30 census block groups and 20 6 points that were surveyed

S urvey Design

• 55 questions
• Five parts

▫ Quality of life ▫ Community problems & issues ▫ Personal health ▫ Emergency preparedness ▫ Demographics

Limitations

• Volunteer interviewers
• Door-to-door survey

▫ More likely to capture data from people at home during the day (i.e. elderly, unemployed/ work from home, disabled, lonely, etc.)

• Survey timing

▫ Data collected in July 2010, making some concerns moot while missing newer, more pertinent ones

• Precision

Highlights of Survey Findings

Population Demographics

Age

North South Total 20 0 0 Census 18-24 5% 4% 4.4% 16.6% 25-34 8% 22% 18.0% 24.6% 35-44 13% 18% 16.0% 20.5% 45-54 24% 18% 19.4% 16.5% 55-64 32% 20% 23.3% 9.2% 65-74 10% 10% 9.7% 6.3% 75 or older 10% 9% 9.2% 6.2%

Gender

North South Total 20 0 0 Census Male 42.9% 40.8% 41.5% 47.3% Female 57.1% 59.2% 58.5% 52.7%

Race & Ethnicity

North South Total 20 0 0 Census Black or African American 17.5% 52.4% 41.7% 39.5% American Indian/ Alaskan Native 6.3% 2.1% 3.4% 0.3% Asian or Pacific Islander 0.0% 2.1% 1.5% 3.3% White 77.8% 44.8% 54.9% 50.9% Prefer not to answer 0.0% 0.0% 0.0%

• Other, unspecified

3.2% 1.4% 1.9%

• Hispanic/ Latino

North South Total 20 0 0 Census Yes 6.3% 6.3% 6.3% 7.6% No 93.7% 93.7% 93.7% 92.4%

Languages S poken at Home

North South Total English 98.4% 96.5% 97.1% Spanish 4.8% 5.6% 5.3% Other, unspecified 1.6% 2.1% 1.9% Amharic 0.0% 0.7% 0.5% Bengali 0.0% 0.7% 0.5% Chinese 0.0% 0.7% 0.5% Sign language 1.6% 0.0% 0.5% Hindu 0.0% 0.7% 0.5% Urdu 0.0% 0.7% 0.5%

Highest Education Achieved

North South Total None 1.6% 0.0% 0.5% 6th grade 0.0% 0.7% 0.5% Some high school, no diploma 4.8% 11.2% 9.2% High school diploma or GED 14.3% 17.5% 16.5% Associate’s Degree or Vocational Training 14.3% 5.6% 8.3% Some college (no degree) 23.8% 13.3% 16.5% Bachelor’s degree 14.3% 22.4% 19.9% Graduate/ professional degree 27.0% 28.0% 27.7% Other, unspecified 0.0% 1.4% 1.0%

Employment S tatus

Em ploym ent Status North South Total Employed full-time 46.0% 46.9% 46.6% Employed part-time 12.7% 11.2% 11.7% Retired 28.6% 21.0% 23.3% Military 0.0% 2.1% 1.5% Unemployed 11.1% 7.7% 8.7% Disabled 1.6% 5.6% 4.4% Student 3.2% 6.3% 5.3% Homemaker 6.3% 4.2% 4.9% Self-employed 4.8% 9.1% 7.8%

Gross Household Income and S ize

Household incom e, 20 0 9 Total Less than $14,999 14.4% $15,000 - $24,999 10.9% $25,000 - $34,999 8.5% $35,000 - $49,999 17.4% $50,000 - $74,999 15.9% Over $75,000 23.4% Refused to Answer 9.5% Household size Total 1 27.3% 2 33.2% 3 18.0% 4 11.7% 5 5.4% 6 2.4% 7 1.5% 8 0.5%

Highlights of Survey Findings

Quality of Life

“ Durham County is a good place to raise children”

Strongly Disagree, 2.5% Disagree, 14.0% Agree, 61.5% Strongly Agree, 22.0%

“ Durham County is a good place to grow old”

Strongly Disagree, 2.0% Disagree, 12.9% Agree, 58.2% Strongly Agree, 26.9%

“ There is plenty of economic

• pportunity in Durham County”

Strongly Disagree, 4.5% Disagree, 29.9% Agree, 53.7% Strongly Agree, 11.9%

“ There is plenty of help for individuals and families during times of need in Durham County”

Strongly Disagree, 6.3% Disagree, 20.9% Agree, 57.1% Strongly Agree, 15.7%

Highlights of Survey Findings

Community Problems & Issues

Top Three Environmental Issues

37% 42% 39% 32% 31% 33% 29% 26% 24% 0% 10% 20% 30% 40% 50% North South Total Safe & clean drinking water Unsafe, unmaintained roads Population growth Safe & clean drinking water Unsafe, unmaintained roads Unsafe, unmaintained sidewalks Unsafe, unmaintained roads Safe & clean drinking water Roadside litter

Top Three Community Issues

52% 42% 45% 24% 32% 29% 22% 24% 20% 0% 10% 20% 30% 40% 50% 60% North South Total Gang involvement Homelessness TIE: Unemployment & Positive teen activities Positive teen activities Homelessness Homelessness Unemployment Gang involvement Gang involvement

Top Three Risky Behaviors

41% 38% 39% 35% 38% 35% 30% 34% 33% 0% 10% 20% 30% 40% 50% North South Total Drug or ℞ medication abuse Alcohol abuse Violent behavior Violent behavior TIE: Alcohol abuse & Violent behavior Alcohol abuse Reckless/ drunk driving Drug or ℞ medication abuse Drug or ℞ medication abuse

Top Three Health Problems

46% 38% 41% 46% 37% 40% 35% 35% 35% 0% 10% 20% 30% 40% 50% North South Total Addiction to alcohol, drugs, or ℞ pills Obesity / overweight Heart disease / heart attacks Heart disease / heart attacks Heart disease / heart attacks Obesity / overweight Obesity / overweight Addiction to alcohol, drugs, or ℞ pills Addiction to alcohol, drugs, or ℞ pills

What one thing would make Durham County or your neighborhood a healthier place to live?

Categories of Responses

• Air Quality
• Animal Control
• Childcare
• Cleanliness/ Waste Collection/ Recycling
• Community Cohesion, Engagement & Unity
• Drugs
• Education/ Schools
• Environmental Health
• Family Planning Options
• Getting Problems Resolved
• Healthcare

▫ Access ▫ Affordability ▫ Education ▫ Quality ▫ Workforce

• Healthy Eating/ Nutrition/ Exercise
• Homelessness
• Housing:

Access/ Maintenance/ Quality/ Affordability

• Job Growth/ Economy/ Economic Development
• Local Food Options (Community Garden, Farmers

Market

• Police Presence/ Reduced Crime/ Neighborhood

Watch/ Gun Control

• Political Change
• Poverty
• Property Values/ Taxes
• Prostitution
• Public Health Communication
• Recreation

Space/ Facilities/ Maintenance/ Programs

• Safety (General)
• Smoking/ Alcohol
• Social Services
• Teen Programs/ Outreach
• Transportation Maintenance & Safety

▫ Bikes ▫ Public Transport ▫ Roads, Sidewalks & Streetlights

• Violence/ Gang Violence
• Other / Don’t know / None

Categories of Responses, Percents

• Air Quality (1.6%)
• Animal Control (2.1%)
• Childcare (0 .5%)
• Cleanliness/ Waste Collection/ Recycling (1.6%)
• Community Cohesion, Engagement & Unity (8 .8 %)
• Drugs (4.1%)
• Education/ Schools (5.2%)
• Environmental Health (2.1%)
• Family Planning Options (0 .5%)
• Getting Problems Resolved (0 .5%)
• Healthcare

▫ Access (7.8 %) ▫ Affordability (1.0 %) ▫ Education (0 .5%) ▫ Quality (0 .5%) ▫ Workforce (0 .5%)

• Healthy Eating/ Nutrition/ Exercise (9.3%)
• Homelessness (2.1%)
• Housing: Access/ Maintenance/ Quality/ Affordability

(1.0 %)

• Job Growth/ Economy/ Economic Development

(5.2%)

• Local Food Options (Community Garden, Farmers

Market (3.6 %)

• Police Presence/ Reduced Crime/ Neighborhood

Watch/ Gun Control (7.8 %)

• Political Change (1.0 %)
• Poverty (1.0 %)
• Property Values/ Taxes (0 .5%)
• Prostitution (1.0 %)
• Public Health Communication (2.1%)
• Recreation

Space/ Facilities/ Maintenance/ Programs (7.3%)

• Safety (General) (2.1%)
• Smoking/ Alcohol (1.6%)
• Social Services (4 .1%)
• Teen Programs/ Outreach (2.1%)
• Transportation Maintenance & Safety

▫ Bikes (3.1%) ▫ Public Transport (4 .1%) ▫ Roads, Sidewalks & Streetlights (7.8 %)

• Violence/ Gang Violence (3.1%)
• Other (3.6%) / Don’t know (4.1%) / None (6 .2%)

Top Responses (>5% )

0% 2% 4% 6% 8% 10%

Healthy Eating/ Nutrition/ Exercise Community Cohesion, Engagement & Unity Healthcare: Access Police Presence/ Reduced Crime/ Neighborhood Watch/ Gun Control Transportation Maintenance & Safety: Roads, Sidewalks & Streetlights Recreation Space/ Facilities/ Maintenance/ Programs None Education/ Schools Job Growth/ Economy/ Economic Development

Highlights of Survey Findings

Personal Health

How would you rate your own health?

Excellent, 18.9% Very Good, 32.0% Good, 30.6% Fair, 17.5% Poor, 1.0%

Where do you get most of your health- related information?

0% 10% 20% 30% 40% 50% 60% Doctor/ nurse/ pharmacist Internet Books/ magazines/ newspapers Friends and family School Television Church Other, unspecified Duke Hospital Health department Pharmacologist Radio Help lines

In the past 12 months, did you ever have a problem getting the healthcare you needed from any type of healthcare provider or facility?

Yes, 13.1% No, 86.9%

Percent “ Y es” to each statement

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

I feel connected to family and friends I have a social group of friends I have someone in my life with whom I can share my private feelings and concerns I have a religious/ spiritual community I have a social outing at least once a week There are people in my life that help me I am available to help others

Where do you go to exercise or engage in physical activity?

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

Neighborhood Home Private gym/ pool Park Other Work Durham YMCA Public Recreation Center None – I don’t exercise

What do you think makes it hard for you to eat healthy?

0% 10% 20% 30% 40% 50% 60%

I eat healthy, it’s not hard* Takes too much time to prepare and shop for healthy choices Healthy food costs too much Hard to find healthy choices when eating outside the home Healthy food doesn’t taste good Lack of knowledge about cooking Other No place in neighborhood to buy healthy food Nobody else in my family would eat it

Do you currently smoke?

Yes, 17.5% No, 82.5%

Are you currently caring for:

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

Family member with chronic illness Elderly or disabled parent Grandchild Disabled spouse/ partner Foster child(ren) None Disabled child

Highlights of Survey Findings

Emergency Preparedness

In a disaster, what would you rely on the most for information?

0% 10% 20% 30% 40% 50% 60%

TV Radio Internet Word of Mouth 211 Other, unspecified National Weather Service, via scanner Police department Radio (code 2), if power is off Cell phone Fire department Varies by disaster

If you couldn’ t remain in your house, where would you go in a community- wide emergency?

0% 10% 20% 30% 40% Relative/ friend Don’t know Emergency Shelter School Church Duke Hospitals Other, unspecified Red Cross Motel/ hotel NCCU Camping Fire station VFW

Questions?