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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 &


  1. 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

  2. Research Plan and Methodology The Center for Marketing & Opinion Research, LLC. w w w .cm oresearch.com

  3. Project Components Telephone survey of Stark County residents 1. Reviewing and analyzing secondary data 2. sources to identify priority areas of concern when analyzed alongside survey data. Web survey of community leaders who were 3. knowledgeable about public health. Focus Group of Community Residents 4. The Center for Marketing & Opinion Research, LLC. w w w .cm oresearch.com

  4. Community Telephone Survey  Telephone interviews were utilized in order to ensure representativeness of the population.  800 surveys were conducted. Resulted in precision level of +/-3.5% within a 95% confidence interval for the county.  The sample was drawn at random from all working residential telephones in county. CELL PHONES WERE INCLUDED. The Center for Marketing & Opinion Research, LLC. w w w .cm oresearch.com

  5. Community Survey Subject Areas  Community Needs/  Maternal, Infant and Social Determinants Child Health  Access to Care  Exercise, Obesity, Healthy Living  Oral Health  Immunizations  Smoking/Tobacco Use  Chronic Diseases  Mental Health  Transportation  Prescription Drug Use/Substance Abuse The Center for Marketing & Opinion Research, LLC. w w w .cm oresearch.com

  6. Community Survey Participants Employment Status Age of Respondent Full-time 41% 38% Retired 24% 30% Part-time 11% 22% Unemployed 11% Homemaker 8% 10% Other 3% 18-24 25-44 45-64 65 and Student 2% over The Center for Marketing & Opinion Research, LLC. w w w .cm oresearch.com

  7. Community Survey Participants Annual Income Educational Attainment Grade school 2% 29% 27% Some high school 4% High school grad 27% 19% 14% Some college 39% 11% College grad 20% Under $25 - $50 - $75 - $100,000 Post grad 9% $25,000 49,999 74,999 99,999 or more The Center for Marketing & Opinion Research, LLC. w w w .cm oresearch.com

  8. Community Survey Participants Own or Rent Location Rent Own Other Canton/Alliance/Mass. Suburbia 7% 31% 48% 52% 63% The Center for Marketing & Opinion Research, LLC. w w w .cm oresearch.com

  9. Oversampling  An oversample of African-American residents were conducted in addition to the 800 interviews in order to attain enough cases of each population to be able to draw conclusions that were statistically valid.  200 interviews were conducted with African Americans (+/-6.9% within a 95% confidence interval) The Center for Marketing & Opinion Research, LLC. w w w .cm oresearch.com

  10. Secondary Data Gathered health Compiled the and demographic information by data category The Center for Marketing & Opinion Research, LLC. w w w .cm oresearch.com

  11. Sources of Secondary Data 28 Different Sources, Including:  County Health Rankings  2018 Northeast Ohio Youth  Stark County Health Health Survey Department  Behavioral Risk Factor  Stark MHAR Surveillance System (BRFSS)  U.S. Census Bureau -  U.S. Bureau of Labor American Community Survey Statistics  Ohio Department of Alcohol  Ohio Department of and Drug Addiction Services Education  Ohio Department of Health The Center for Marketing & Opinion Research, LLC. w w w .cm oresearch.com

  12. Community Leader Web Survey  Email invitations were sent to a list of 472 community leaders. 2 reminders were sent to those who hadn’t completed the survey.  101 surveys were completed, a completion rate of 21.4%.  The design of the survey was optimized for respondents completing via computer as well as on a mobile device The Center for Marketing & Opinion Research, LLC. w w w .cm oresearch.com

  13. Community Leader Web Survey Subject Areas  Community Needs/  Healthy Living Social Determinants  Vaccinations and  Access to Care Prevention Services  Mental Health  Chronic Diseases  Substance Abuse  Maternal, Infant and Child Health The Center for Marketing & Opinion Research, LLC. w w w .cm oresearch.com

  14. Participant Demographics Population Served Business Sector Adults Children Both Nonprofit 31% Government 25% Education 20% 13% Health care 7% 16% Other 5% Business/Private 2% 80% Faith-based 1% 0% 10% 20% 30% 40% The Center for Marketing & Opinion Research, LLC. w w w .cm oresearch.com

  15. Focus Areas Addressed by Participants 54% 47% 43% 41% 38% 37% 33% Access to Infant Mental Healthy Heroin/ Opiate Chronic Immunizations Health Care Mortality Health/Suicide Lifestyle Use Disease The Center for Marketing & Opinion Research, LLC. w w w .cm oresearch.com

  16. Community Resident Focus Group  Was conducted to collect additional qualitative data to be incorporated into the CHNA.  6 Participants- were a diverse mix of adult residents of Stark County.  Moderated by CMOR and conducted at the Stark County Health Department. The Center for Marketing & Opinion Research, LLC. w w w .cm oresearch.com

  17. Participant Demographics Gender Participants were from: Male Female Canton  Louisville  Massillon  Minerva 33%  Perry Township  Uniontown 68%  The Center for Marketing & Opinion Research, LLC. w w w .cm oresearch.com

  18. Participant Demographics Race Employment Status Rent Own Other Full-time Part-time Retired 7% 31% 33% 50% 63% 17% The Center for Marketing & Opinion Research, LLC. w w w .cm oresearch.com

  19. Priority Health Areas The Center for Marketing & Opinion Research, LLC. w w w .cm oresearch.com

  20. Priority Health Areas ACCESS TO HEALTH CARE 1. HEROIN/OPIATE USE 2. INFANT MORTALITY 3. MENTAL HEALTH SERVICES/SUICIDE 4. OBESITY/HEALTHY LIFESTYLES 5. The Center for Marketing & Opinion Research, LLC. w w w .cm oresearch.com

  21. Most Important Health Issue  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) The Center for Marketing & Opinion Research, LLC. w w w .cm oresearch.com

  22. Ranking of Community Needs Importance of Health Issues High Medium Low Average Top 3 Overall (8-10) (4-7) (1-3) Import. Issues 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 Source: CL Web Survey The Center for Marketing & Opinion Research, LLC. w w w .cm oresearch.com

  23. Access to Health Care The Center for Marketing & Opinion Research, LLC. w w w .cm oresearch.com

  24. Access to Health Care % not doctor Population Where receive healthcare All respondents 24.1% 2011 2015 2018 Unemployed 35.3% 71% Primary care doctor 75% Employed part-time 27.0% 76% High school or less 28.4% 6% Urgent Care 7% 8% Not married 29.9% 7% Ages 18-24, 25-44 33.8%, 32.6% Other 6% 7% Non-white 32.7% 8% ER 8% Under $25K, $25-50K 31.4%, 27.1% 6% 8% Renters 32.4% Hospital Clinic 4% 3% Urban residents 27.8% The Center for Marketing & Opinion Research, LLC. Source: w w w .cm oresearch.com Community Survey

  25. Access to Health Care Population % No Doctor Has Primary Care Provider All respondents 13.9% 14% 16% Employed part-time 16.9% Unemployed 27.4% High school or less 18.7% 86% 84% Renters 22.6% Urban residents 16.9% Ages 18-24, 25-44 22.1%, 21.9% 2015 2018 Not married 173% Yes No Income under $25k 19.1% Source: Community Survey The Center for Marketing & Opinion Research, LLC. w w w .cm oresearch.com

  26. Access to Health Care % No Health Insurance Coverage Population Insurance All respondents 8.1% 26% 41% 43% Employed part-time 13.8% 14% Unemployed 16.9% 10% 12% High school or less 11.6% 46% 41% 39% Renters 15.0% 13% 8% 5% Urban residents 11.8% 2011 2015 2018 Ages 18-24, 25-44 18.2% Not Insured Employer Paid Not married 12.7% Private Insurance Medicare/Medicaid Income under $25k 10.0% Income $25-$50K 12.5% The Center for Marketing & Opinion Research, LLC. w w w .cm oresearch.com Source: Community Survey

  27. Access to Health Care  Community Leader: What are some problems, barriers, or gaps in services that prevent residents from receiving medical care they need? 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% - (n=93) The Center for Marketing & Opinion Research, LLC. w w w .cm oresearch.com

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