The Center for Marketing and Opinion Research 2019 Stark County - - PowerPoint PPT Presentation
The Center for Marketing and Opinion Research 2019 Stark County Community Health Needs Assessment The Center for Marketing & Opinion Research, LLC. w w w .cm oresearch.com Research Plan and Methodology The Center for Marketing &
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Community Needs/
Access to Care Oral Health Smoking/Tobacco Use Mental Health Prescription Drug
Maternal, Infant and
Exercise, Obesity,
Immunizations Chronic Diseases Transportation
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10% 30% 38% 22%
18-24 25-44 45-64 65 and
Age of Respondent
2% 3% 8% 11% 11% 24% 41%
Student Other Homemaker Unemployed Part-time Retired Full-time
Employment Status
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27% 29% 19% 11% 14% Under $25,000 $25 - 49,999 $50 - 74,999 $75 - 99,999 $100,000
Annual Income
2% 4% 27% 39% 20% 9%
Grade school Some high school High school grad Some college College grad Post grad
Educational Attainment
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31% 63% 7%
Own or Rent
Rent Own Other
48% 52%
Location
Canton/Alliance/Mass. Suburbia
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An oversample of African-American residents
200 interviews were conducted with African
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28 Different Sources, Including:
2018 Northeast Ohio Youth
Health Survey
Behavioral Risk Factor
Surveillance System (BRFSS)
U.S. Bureau of Labor
Statistics
Ohio Department of
Education
Ohio Department of Health County Health Rankings Stark County Health
Department
Stark MHAR U.S. Census Bureau -
American Community Survey
Ohio Department of Alcohol
and Drug Addiction Services
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Email invitations were sent to a list of 472
101 surveys were completed, a completion
The design of the survey was optimized for
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Community Needs/
Access to Care Mental Health Substance Abuse Maternal, Infant and
Healthy Living Vaccinations and
Chronic Diseases
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13% 7% 80%
Population Served
Adults Children Both
1% 2% 5% 16% 20% 25% 31%
Faith-based Business/Private Other Health care Education Government Nonprofit
0% 10% 20% 30% 40%
Business Sector
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54% 47% 43% 41% 38% 37% 33% Access to Health Care Infant Mortality Mental Health/Suicide Healthy Lifestyle Heroin/ Opiate Use Chronic Disease Immunizations
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Was conducted to collect additional
6 Participants- were a diverse mix of
Moderated by CMOR and conducted at
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68% 33%
Gender
Male Female
Participants were from:
Canton
Louisville
Massillon
Minerva
Perry Township
Uniontown
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31% 63% 7%
Race
Rent Own Other
50% 17% 33%
Employment Status
Full-time Part-time Retired
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Community Survey: What do you think is the MOST important
health related issue or challenge facing your community?
Most Important Issue # % Legal/Illegal drug abuse 344 49.8% Healthcare costs 180 26.0% Mental health 135 19.5% Cancer 118 17.1% Obesity 110 15.9% (n=691)
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Source: CL Web Survey
Importance of Health Issues High (8-10) Medium (4-7) Low (1-3) Average Import. Top 3 Issues Overall Rank Mental health/suicide 95.0% 5.0% 0.0% 9.50 85.1% 1 Heroin/Opiate use 89.1% 10.9% 0.0% 9.06 63.4% 2 Access to health care 93.1% 6.9% 0.0% 9.31 53.5% 3 Infant mortality 88.1% 9.9% 2.0% 8.92 37.6% 4 Obesity/Healthy lifestyle 75.2% 24.8% 0.0% 8.50 34.7% 5 Chronic disease mgt 73.3% 25.7% 1.0% 8.25 17.8% 6 Cancer 70.3% 27.7% 2.0% 8.24 5.0% 7 Immunizations 81.3% 25.7% 3.0% 8.16 3.0% 8
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3% 6% 7% 8% 76% 4% 8% 6% 7% 75% 8% 8% 7% 6% 71%
Hospital Clinic ER Other Urgent Care Primary care doctor
Where receive healthcare
2011 2015 2018 Population % not doctor All respondents 24.1% Unemployed 35.3% Employed part-time 27.0% High school or less 28.4% Not married 29.9% Ages 18-24, 25-44 33.8%, 32.6% Non-white 32.7% Under $25K, $25-50K 31.4%, 27.1% Renters 32.4% Urban residents 27.8%
Source: Community Survey
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Population % No Doctor
All respondents 13.9% Employed part-time 16.9% Unemployed 27.4% High school or less 18.7% Renters 22.6% Urban residents 16.9% Ages 18-24, 25-44 22.1%, 21.9% Not married 173% Income under $25k 19.1%
Source: Community Survey 84% 86% 16% 14% 2015 2018
Has Primary Care Provider
Yes No
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Population % No Insurance
All respondents 8.1% Employed part-time 13.8% Unemployed 16.9% High school or less 11.6% Renters 15.0% Urban residents 11.8% Ages 18-24, 25-44 18.2% Not married 12.7% Income under $25k 10.0% Income $25-$50K 12.5%
Source: Community Survey 13% 5% 8% 46% 39% 41% 14% 12% 10% 26% 43% 41%
2011 2015 2018
Health Insurance Coverage
Not Insured Employer Paid Private Insurance Medicare/Medicaid
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Community Leader: What are some problems,
Barriers # % Transportation 84 90.3% Insurance / Ability to pay 59 63.4% Communication 43 46.2% Knowledge of available services 34 36.6% Behavioral health 27 29.0%
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44% 44% 46% 52% 64% 40% 40% 43% 29% 31% 11% 13% 9% 13% 4% 4% 3% 2% 6% 1%
Residents not able to access PCP when needed Residents not able to access specialists when needed Lack of laws/policies/changes that support access to care Lack of mental and behavioral health providers Lack of transportation for medical appointments
Significant issue Moderate issue Slight issue Not an issue
Source: CL Web Survey
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Yes 84% No 16%
Youth: Always Been Able to Get Needed Medical/Psych Care Top Reasons for No Access:
Source: : 2018 Northeast Ohio Youth Health Survey
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Population % Know Someone
All respondents 19.8% Renters 24.0% Ages 25-44 29.3% Not married 24.1% Under $25k 23.6% Over $100k 24.3%
Source: Community Survey
20% 80% 15% 85%
Yes No
Know Someone who has Taken OxyContin or Prescription to Get High
2018 2015
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Population % Very Serious All respondents 76.0% Retired 78.8% College Grads 79.1% Home owners 78.8% 65+ 81.3%
Source: Community Survey 76% 18% 6% 74% 19% 8%
Very serious Moderately serious Not serious
Seriousness of Heroin Use in Stark County
2018 2015
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Population % Know Someone All respondents 14.9% Employed part-time 19.5% Some College 19.4% 18-24, 25-44 21.8%, 21.6% Not married 17.5% Children in home 18.8%
Source: Community Survey 15% 85%
Know Someone Treated for Overdose with Narcan
Yes No
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Source: CL Web Survey 56% 57% 57% 61% 78% 36% 31% 38% 32% 21% 8% 9% 4% 6% 1%
3% 1%
Prescription drug misuse Marijuana Other illegal drugs Stigma associated with addiction Heroin Significant issue Moderate issue Slight issue Not an issue
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Community Leader: What are some problems, barriers, or
Barriers # % Lack of providers/services 49 69.0% Insurance / Ability to pay 25 35.2% Stigma 21 29.6% Transportation 17 23.9% Denial 13 18.3%
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Source: ODH
20 40 60 80 100 120
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Number of Unintentional Drug Overdose Deaths, Stark
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38% 63%
Heard of ABC's Safe Sleep Guidelines
Yes No
20% 34% 46%
Very serious Moderately serious Not a problem
Seriousness of Infant Mortality in Stark County
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1% 54% 35% 11% 2% 72% 21% 5% None First Trimester Second Trimester Third Trimester
Trimester of Entry into Prenatal Care
Stark County Ohio
Source: ODH
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Source: ODH
2 4 6 8 10 12
2006 2008 2010 2012 2014 2016
Stark County Infant Mortality Rate
Stark County Ohio
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Source: ODH
5 10 15 20 25 30 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Stark County Infant Mortality Rate by Race
White Black
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51% 64% 65% 0% 20% 40% 60% 80% Homeless/transient Individuals living in poverty People with mental illness
Populations Not Adequately Served by Local Health Services
Source: CL Web Survey
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Source: CL Web Survey 57% 64% 66% 69% 70% 36% 30% 25% 25% 26% 4% 4% 7% 4% 4%
3% 2% 2% 2%
Lack of public education Lack of integrated treatment and early intervention A limited mental health workforce Amount of time it takes residents to get help Stigma associated with mental health Significant issue Moderate issue Slight issue Not an issue
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CL Web Survey: What are some problems, barriers
Barriers # % Stigma 43 53.1% Lack of providers/facilities 40 49.4% Insurance / Ability to pay 35 43.2% Transportation 23 28.4% Not aware how to access treatment 21 25.9% (n=81)
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Population % 6+ days All respondents 23.7% Unemployed 43.4% Employed part-time 31.5% High school or less 30.5% Not married 35.0% Ages 18-24, 25-44 49.4%, 30.1% With kids 33.2% Under $25K, $25-50K 40.8%, 29.5% Renters 39.5% Urban residents 32.1% Females 33.4%
Source: Community Survey 49% 23% 8% 4% 5% 3% 8% None 1-5 days 6-10 days 11-15 days 16-20 days 21-25 days 25+ days
Number of Days Mental Health Not Good
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Population % had to wait All respondents 12.5% Unemployed 21.2% Some College 17.2% Not married 15.7% Ages 18-24, 25-44 18.2%, 16.5% Under $25K 18.6% Renters 19.0% Urban residents 15.4%
Source: Community Survey 13% 88%
Had to Wait to See Counselor or Psychiatrist
Yes No
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Source: 2018 Northeast Ohio Youth Health Survey 2% 4% 15% 9% 10% 25% 1% 8% 9% 19% 25% 34%
Autism Other mental health issue ADD/ADHD Depression Anxiety Any mental health issue
YOUTH: History of Mental Health Issues
Females Males
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Adults Children Disorder # of cases Disorder # of cases Depressive Disorders 3,618 Adjustment disorders 2,094 Bipolar Disorders 2,632 Conduct disorders 1,281 Anxiety Disorders 2,265 Attention-Deficit/Disruptive 1,144 Alcohol use disorders 1,586 Anxiety disorders 1,050 Opiate Use Disorders 1,577 Depressive disorders 888
Source: Stark County MHAR
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Source: Stark County MHAR
2,000 4,000 6,000 8,000 10,000 12,000 14,000 16,000 SFY 2012 SFY 2013 SFY 2014 SFY 2015 SFY 2016
Number of Stark County Behavioral Health Clients
Adults Children
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Source: ODH
5 10 15 20 25 2012 2013 2014 2015 2016 2017*
Suicide Death Rate
Stark County Ohio
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83% 17% 79% 21%
Yes No
Exercised in Past Month
2015 2018 Population % No Exercise
All respondents 21.3% Retired 24.5% Unemployed 24.7% High school or less 29.5% Age 65 and over 30.2% Under $25k 31.2% Urban residents 27.4% Females 24.4%
Source: Community Survey
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44% 51% 5%
47% 47% 7% 53% 40% 7% Overweight About Right Underweight 0% 20% 40% 60%
Self Described Weight
2018 2015 2011
Population % Overweight
All respondents 53.4% Married 57.0% Females 58.9% Ages 45-64 62.5% College grads 56.7%
Source: Community Survey
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77% 17% 6%
74% 21% 5% 69% 24% 7%
Excellent/Good Fair Poor/Very poor
0% 50% 100%
Personal Health Rating
2018 2015 2011 Population % Poor
All respondents 7.1% Unemployed 22.4% Non-white 13.4% Under $25k 16.6% Urban residents 11.6% High school grad or less 11.0% Renters 10.7%
Source: Community Survey
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74% 37% 33% 24% 13% 6% Cost Distance from store Quality of food Time for shopping Safety Other 0% 10% 20% 30% 40% 50% 60% 70% 80%
Problems in Getting Needed Food
Source: Community Survey
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20% 8% 72%
22% 8% 70% 17% 9% 75%
Everyday Some days Not at all
Tobacco Use
2018 2015 2011 Population % Use All respondents 25.4% Urban residents 30.1% High School grad or less 34.8% Unemployed 47.1% Renters 38.3% Have kids 31.3% Ages 25-44 33.1% Not married 33.5% Income less than $25,000 37.1% Source: Community Survey
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CL Web Survey: What do you consider to be the
Major Risk Factors # % Food insecurity 52 57.1% Low or no finances 50 54.9% Use of drugs, alcohol, tobacco 42 46.2% Health illiteracy 37 40.7% No healthcare component 24 26.4% (n=91)
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CL Web Survey: What are some problems, barriers
Barriers # % Cost 54 66.7% Distance to grocery stores 44 54.3% Health illiteracy 43 53.1% Self-motivation is lacking 22 27.2% Unsupportive culture 15 18.5% (n=81)
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46% 50% 52% 54% 57% 41% 40% 38% 40% 30% 12% 10% 9% 6% 13%
1% 1%
Secondhand smoke exposure Lack of incentives/support for adults to exercise Daily or regular tobacco use Lack of skills to cook and prepare healthy meals Lack of access to fresh fruits and vegtables Significant issue Moderate issue Slight issue Not an issue
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