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Daniel J Kruger, PhD University of Michigan Genesee County Health Departments Public Health Week Annual Conference 5

Mission of the PRC/MI. To create and foster knowledge resulting in more effective public health programs and policies. The Center conducts community-based prevention research to improve health and prevent disease, especially focusing on populations with a disproportionate share of poor health outcom

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Daniel J Kruger, PhD University of Michigan Genesee County Health Departments Public Health Week Annual Conference 5

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    1. Daniel J Kruger, PhD University of Michigan Genesee County Health Department's Public Health Week Annual Conference 5 April 2011 The economic crisis and the health of Genesee County: Results from the 2009 Speak to Your Health! Community Survey

    2. Mission of the PRC/MI To create and foster knowledge resulting in more effective public health programs and policies. The Center conducts community-based prevention research to improve health and prevent disease, especially focusing on populations with a disproportionate share of poor health outcomes. PoliciesPolicies

    3. Support for the survey provided by: Centers of Disease Control and Prevention (CDC), U.S. Dept of Health and Human Services Genesee County Health Department Hurley Medical Center

    4. Speak to Your Health! Survey Committee Co-Chairs: Daniel J. Kruger, UM-SPH Suzanne Cupal, Genesee County Health Department Committee Members: Shante Burke, GC Community Mental Health Bettina Campbell, YOUR Center Erin Conklin, Genesys Health System E. Hill De Loney, Flint Odyssey House - HAC Micki Juip, Hurley Medical Center Susan Morrel-Samuels, UM-SPH John Sonnega, UM-Flint Arlene Sparks, GCCARD Mark Valacak, Genesee County Health Officer Need a picture!!!Need a picture!!!

    5. Purpose of the Survey The survey was designed via collaborative process to: Understand residents’ health-related behaviors and perceptions Provide information for needs assessments and evaluations of projects Identify community assets Understand the associations between residents’ health-related behaviors and perceptions, social determinants, and health outcomes Provide training opportunities Develop a community health agenda that is widely disseminated and democratic

    6. Survey Methodology Random sample of households in Genesee County 20 residents per Census Tract in Flint 10 residents per Census Tract outside of Flint Telephone interviews conducted by the Michigan Public Health Institute Adults ages 18 years and older Final sample size = 1700 residents 900 in Flint and 800 Out-County Data analyses can be weighted to take into account sampling strategy and demographic distribution

    7. 2009 Survey Topics Physical and Mental Health Screening 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 Public Policy for Smoking Regulations

    8. Survey Strengths Data can be used for needs assessment, planning, and assessing programs and interventions Among the best local data available in Michigan on health and health behaviors Results can be used to compare health status at various levels (City, County, State, National) Geographic mapping of information can identify areas with certain assets or need

    9. Genesee County, Michigan

    10. Survey Respondents Selected by Census Tract

    11. Locations of Survey Respondents

    12. Community Utilization of Survey Data

    13. Fulfilling the Core Functions of Public Health

    14. The economic crisis and the health of Genesee County 14

    19. General and mental health items from the Behavioral Risk Factor Surveillance System:

    20. General and mental health items from the Behavioral Risk Factor Surveillance System: 1. Would you say that in general your health is … 2. Would you say that in general your mental or emotional health is … 5) Excellent 4) Very good 3) Good 2) Fair, or 1) Poor

    21. General and mental health items from the Behavioral Risk Factor Surveillance System: 1. Would you say that in general your health is … 2. Would you say that in general your mental or emotional health is … 5) Excellent 4) Very good 3) Good 2) Fair, or 1) Poor 3. During the past 30 days, how many days did poor health keep you from doing your usual activities, such as self-care, work, or recreation?

    22. General and mental health items from the Behavioral Risk Factor Surveillance System: 1. Would you say that in general your health is … 2. Would you say that in general your mental or emotional health is … 5) Excellent 4) Very good 3) Good 2) Fair, or 1) Poor 3. During the past 30 days, how many days did poor health keep you from doing your usual activities, such as self-care, work, or recreation? 4. During the past 30 days, how many days did poor mental or emotional health keep you from doing your usual activities, such as self-care, work, or recreation?

    31. The degree of decline in which an individual’s financial situation was worse compared to the previous year, the greater degree to which they:

    33. Survey Website

    34. Survey Website

    35. Survey Website

    36. Survey Website

    37. Thank You!!! To All Who Participated in the Speak to Your Health! Community Survey

    38. Questions? The economic crisis and the health of Genesee County: Results from the 2009 Speak to Your Health! Community Survey

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