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Safe and Healthy Futures in Genesee County Prevention Research Center of Michigan 2012 Symposium 1 Welcome and Introduction David Gordon , Dean, UM Flint School of Health Professions and Studies Mark Valacak , Health Officer, Genesee County

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Safe and Healthy Futures in Genesee County

Prevention Research Center of Michigan 2012 Symposium

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Welcome and Introduction

David Gordon, Dean, UM Flint School of Health Professions and Studies Mark Valacak, Health Officer, Genesee County Health Department

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Overview of the PRC/MI

Marc Zimmerman Director, PRC/MI University of Michigan School of Public Health

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PRC/MI Community Board Partners

Dort-Oak Park Neighborhood House Flint Odyssey Awareness Center Flint/Genesee County Neighborhood Roundtable Genesee County Health Department Genesee County Community Action Resource Center

YOUR Center Greater Flint Health Coalition University of Michigan School of Public Health University of Michigan - Flint

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2011 Speak To Your Health! Community Survey

Presented by the

PRC/MI Survey Committee

and the

PRC/MI Genesee County Community Board

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Survey Methodology

Daniel J. Kruger, University of Michigan School of Public Health

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2011 Survey Committee

Co-Chairs:  Daniel Kruger, UM-SPH (past Chair)  Susan Frazier-Kouassi, UM-SPH (current Chair)  Suzanne Cupal, Genesee County Health Department Committee Members:  Bettina Campbell, YOUR Center 

  • E. Hill De Loney, Flint Odyssey House - HAC

 Micki Juip, Hurley Medical Center  Erin Conklin, Genesys Health System  Arlene Sparks, GCCARD  Mark Valacak, Genesee County Health Officer

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Multi-modal Design

 Random sample of adults 18+ in Genesee County  Telephone interviews  Mailed hard copy  On-line survey  Results will be weighted

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Multi-modal survey

911 Mail-in 61 Telephone 285 Online 15 CBO recruited

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2011 Survey Topics

 Physical and Mental Health  Health Care Access, Coverage, Satisfaction, Trust  Health Promoting Behaviors (nutrition, exercise, etc.)  Health Adverse Behaviors (tobacco use, etc.)  Spirituality, Religion, and Health  Experiences of and Perceptions of Racism  Financial Health  Violence, Crime, and Incarceration  Perceptions of Neighborhood Conditions  Sleep Quality

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Strengths

 Needs assessment, planning, and program evaluation  Best local health data in Michigan  Comparison of health data at various levels  Geographic mapping of information can identify areas with certain assets or need

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Geographic Mapping

Survey data can be mapped and analyzed at different geographical levels:

  • Census Tract
  • ZIP Code
  • School attendance

area

  • City Ward
  • Etc.
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Nutrition and Physical Activity

Tony Cuttitta Greater Flint Health Coalition

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Percent Who Consume at Least 5 Fruits and Vegetables per Day, 2005-2011

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Consume at Least 5 Fruits and Vegetables per Day by Race, 2011

5 10 15 20 25 30 35 Flint Genesee County Total African American European American

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Difficulty Getting to a Grocery Store or Supermarket with a Variety of Fresh Fruits and Vegetables by Race, 2011

5 10 15 20 25 30 Flint Genesee County Total African American European American

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How many days per week do you engage in moderate physical activity?

10 20 30 40 50 60 70 80 90 100 Black or African American White 1 2 3 4 5+ p < .05

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How many days per week do you engage in vigorous physical activity?

10 20 30 40 50 60 70 80 90 100 Black or African American White 1 2 3 4 5+ No difference

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Is there a park in your neighborhood that you feel safe using for physical activity?

10 20 30 40 50 60 70 80 90 100 Black or African American White Percent saying “Yes” p < .001

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Diabetes

Micki Juip Hurley Medical Center

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Have you been diagnosed with diabetes by a doctor? (by race)

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Have you been diagnosed with diabetes by a doctor? (by age)

5 10 15 20 25 30 18-24 25-34 35-44 45-54 55-64 65-74 75+ Genesee County Michigan

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Mental Health

Shante Burke Community Mental Health

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Mental health: Stress

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How often have you... ...been upset because of something that happened that you didn’t expect? ...felt nervous and stressed out? ...felt that you had so many problems that you could not deal with them?

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Mental health: Depressive symptoms

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During the past week, how often you felt or thought... …lonely …blue or sad …no interest in things

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Discrimination

Elder Sarah Bailey, Bridges into the Future

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How often are you… ignored, overlooked, or not given service (restaurant, store, etc.)

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How often are you… treated rudely or disrespectfully

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How often are you…

  • bserved or followed while in public places

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How often are you… treated as if you were stupid, being talked down to?

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How often are… Your ideas or opinions being minimized, ignored or devalued

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Total Discrimination

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1.98 1.8 1 1.5 2 2.5 3 3.5 4 Black or African American White p < .001

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Risk and Protective Behaviors for STIs

Bettina Campbell, MSW YOUR Center

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With how many different partners have you had sexual intercourse within the past 12 months?

10 20 30 40 50 60 1 2+ Percent Number of Partners Flint Out-County

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Do you know your partner or all of your partner’s HIV status?

10 20 30 40 50 60 70 80 90 Yes No Percent Flint Out-County

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What do you think are your chances of getting HIV?

10 20 30 40 50 60 70 80 None Low Medium High Percent Perceived chance of getting HIV Flint Out-County

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Frequency of condom use when having sex with a new partner

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Neighborhood Perceptions

Daniel Kruger, PRC/MI

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How satisfied are you with the quality of life in your neighborhood?

10 20 30 40 50 60

Very Dissatisfied Dissatisfied Satisfied Very Satisfied

Flint Genesee County

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How often do you and other people in this neighborhood visit in each other’s homes or outside the home?

23.6 28.9 34.6 13 16.8 29.5 39.4 14.2 Never Rarely Sometimes Often Flint Genesee County

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People in this neighborhood are willing to help their neighbors

10 20 30 40 50 Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree Flint Genesee County

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People in this neighborhood can be trusted.

13.7 19.5 28.9 28.7 9.2 6.6 11.1 23.9 39.6 18.8

Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree

Flint Genesee County

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How fearful are you about crime in your neighborhood?

33.6 45.3 16.9 4.2 10.7 40 33.2 16.2 Very fearful Somewhat fearful Not very fearful Not at all fearful Flint Genesee County

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How safe is it to walk around alone in your neighborhood during the daytime?

9.1 22.8 52.7 15.5 4.3 10.9 37.4 47.4 Extremely dangerous Somewhat dangerous Fairly safe Completely safe Flint Genesee County

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How safe is it to walk around alone in your neighborhood after dark?

25 32 33 9 34.8 40 22.5 2.7 Extremely dangerous Somewhat dangerous Fairly safe Completely safe Flint Genesee County

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Social Capital

Susan Frazier-Kouassi, PhD Prevention Research Center of Michigan

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I often get emotional support and practical help from my blood relatives

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37.4 39.2 13 8.1 2.3 Strongly Agree Agree Neither Agree nor Disagree Disagree Strongly Disagree

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I often get emotional support and practical help from my friends

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29.7 47.8 15.9 4.7 1.9 Strongly Agree Agree Neither Agree nor Disagree Disagree Strongly Disagree

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I am closely connected to and involved in my community

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10.2 27.4 38.7 18.8 4.9 Strongly Agree Agree Neither Agree nor Disagree Disagree Strongly Disagree

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I am closely connected to and involved in my church or religious organization

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28.1 23.8 21.9 17.4 8.7 Strongly Agree Agree Neither Agree nor Disagree Disagree Strongly Disagree

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Social Capital

1 1.5 2 2.5 3 3.5 4 4.5 Black or African American White * p < .05 *** p < .001

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For more information

 Sign up to receive our monthly Speak to Your Health News Briefs  Request a presentation for your

  • rganization
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http://prc.sph.umich.edu

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Acknowledgements

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The 2011 Speak To Your Health Survey was sponsored by:

Prevention Research Center of Michigan, UM SPH Michigan Youth Violence Prevention Center, UM SPH Crim Foundation

Special thanks to our event sponsor:

UM-Flint School of Health Professions and Studies

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Next Sessions

Michigan Youth Violence Prevention Center - Rm 1205 HOPE: HIV/STD Outreach, Prevention and Education – Rm 3201 Motherly Intercession: Strengthening Incarcerated Families – Rm 3202 YES: Youth Empowerment Solutions – Rm 3203

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