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This community health assessment provides an overview of the health of the XYZ community and identifies opportunities for improvement. It examines health disparities, demographic data, mortality rates, and measures of overall health. The assessment also highlights the importance of addressing chronic diseases for a healthier community.
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The Health of XYZ Community Community Health Assessment DATE
Purpose of Assessment • Provide an overview of the health of the community • Look for opportunities for improvement
What Makes Us Healthy? • To understand health and how to make our community healthier, we need to define: • What do we mean by health? • What drives health? • What makes people healthy or not healthy?
Health Disparities • Health disparities = the differences between groups in their health status • Important to examine disparities in the health factors in our community • Health Equity = striving for the best health for all • Need to address disparities in order to achieve health equity
DEMOGRAPHIC DATAWho Are We? • Age • Race/Ethnicity • English proficiency • Geography • Population
Age of Residents Percent of population below 18 and 65 + XYZ Community and Wisconsin (Year) • Cut & paste data here • Enter name of county/community and year of data in title above. Source: County Health Rankings/US Census
Race/Ethnicity of Residents Race of Residents XYZCommunity and Wisconsin (Year) • Cut & paste data here • Enter name of county/community and year of data in title above. Source: County Health Rankings/US Census
Language Proficiency Percent of population that is not proficient in English XYZCommunity and Wisconsin (Year) • Cut & paste data here • Enter name of county/community and year of data in title above. Source: County Health Rankings/US Census/American Communities Survey
Geography of Community Percent of population living in rural area XYZCommunity and Wisconsin (Year) • Cut & paste data here • Enter name of county/community and year of data in title above. Source: County Health Rankings/US Census
Population Total population by Age Group and Gender XYZ Community and Wisconsin (Year) • Cut & paste data here • Enter name of county/community and year of data in title above. Source: WI Department of Health Services / US Census
Population Change Percent of change in Population 2010-(Year) XYZCommunity and Wisconsin • Cut & paste data here • Enter name of county/community and year of data in title above. Source: WI Department of Health Services / US Census
Premature Death Years of potential life lost before age 75 per 100,000 population (age-adjusted) XYZ Community and Wisconsin (Year) • Cut & paste data here • Enter name of county/community and year of data in title above. Source: County Health Rankings/National Vital Statistics System
Infant Mortality Rate Infant Mortality Rate per 1000 Live Births XYZCommunity and Wisconsin (Year) • Cut & paste data here • Enter name of county/community and year of data in title above. Source: WI Department of Health Services WISH
Measures of Overall Health: Poor or Fair Health Percent of adults self-reporting poor or fair health (age-adjusted) XYZCommunity and Wisconsin (Year) • Cut & paste data here • Enter name of county/community and year of data in title above. Source: County Health Rankings/BRFSS
Measures of Overall Health:Physically Unhealthy Days Average number of physically unhealthy days self-reported in adults in past 30 days (age-adjusted) XYZCommunity and Wisconsin (Year) • Cut & paste data here • Enter name of county/community and year of data in title above. Source: County Health Rankings/BRFSS
Measures of Overall Health:Low Birth Weight Infants Percent of birth weights <2,500 grams XYZCommunity and Wisconsin (Year) • Cut & paste data here • Enter name of county/community and year of data in title above. Source: County Health Rankings/WI Department of Health Services WISH
Chronic Diseases: Why This Matters • Chronic diseases include: • Heart disease, stroke, cancer, diabetes, asthma • Can often be prevented through: • Healthy diet, physical activity, eliminating tobacco use and substance abuse • Managing chronic diseases is important because: • The diseases are very costly • Effective management can prevent more serious complications
Chronic Diseases: Why This Matters (continued) • Diabetes: • Affects 29.1 million people in US (2012) • 7th leading cause of death (2013) • Leading cause of: kidney failure, lower limb amputations, adult onset blindness • Cancer: • 2nd leading cause of death in US (2012) • Risk factors: Use of tobacco, physical inactivity & poor nutrition, obesity, UV light exposure • Also can be reduced through: early screening and vaccination • Coronary Heart Disease: • Leading cause of death in US • Modifiable risk factors: high blood pressure, high cholesterol, cigarette smoking, diabetes, poor diet & physical activity, overweight & obesity • Asthma: • Affects more than 40 million people in US (2011) Sources: National Diabetes Statistics Report, 2014 (CDC); (FastStats (CDC); Economic Benefits of Preventing Disease (National Prevention Strategy); Centers for Disease Control and Prevention; Healthiest Wisconsin 2020; Healthy People 2020
Chronic Disease: Diabetes Percent of adults age 20 and above with diagnosed diabetes XYZCommunity and Wisconsin (Year) • Cut & paste data here • Enter name of county/community and year of data in title above. Source: County Health Rankings/BRFSS
Chronic Disease: Cancer Incidence per 100,000 population by cancer site (age-adjusted) XYZCommunity and Wisconsin (Year) • Cut & paste data here • Enter name of county/community and year of data in title above. Source: WI Department of Health Services WISH
Chronic Disease: Coronary Heart Disease Coronary heart disease hospitalization rate per 1,000 population XYZCommunity and Wisconsin (Year) • Cut & paste data here • Enter name of county/community and year of data in title above. Source: WI Department of Health Services/Public Health Profiles
Chronic Disease:Cerebrovascular Disease Cerebrovascular disease hospitalization rate per 1,000 population XYZCommunity and Wisconsin (Year) • Cut & paste data here • Enter name of county/community and year of data in title above. Source: WI Department of Health Services/ Public Health Profiles
Chronic Disease:Asthma in Youth Percent of Youth Ever told by a Doctor or Nurse they had Asthma and Still have Asthma Either: XYZ School District(s) and Wisconsin (Year) Or: Wisconsin (Year) • Cut & paste data here • Enter name of school district(s) and year of data in title above. Source: Youth Risk Behavioral Survey (YRBS)
Oral Health: Why This Matters • Good oral health improves the ability to: • Speak, smile, smell, taste, touch, chew, swallow, and make facial expressions • Good oral health can prevent: • Mouth pain, tooth decay, tooth loss, oral and throat cancer, birth defect, other disease of the mouth • Good oral health care can prevent other diseases: • Early detection of diseases that start with oral symptoms that can affect health in other parts of the body • People more likely to have poor oral health: • People with disabilities • People with other health conditions Sources: Healthiest Wisconsin 2020; Healthy People 2020
Oral Health:Fluoride in Public Water Supplies Percent of public water supplies with fluoride content at 0.7 PPM or greater XYZCommunity and Wisconsin (Year) • Cut & paste data here • Enter name of county/community and year of data in title above. Source: WI DHS/Public Water Supply Fluoridation Census
Oral Health: Untreated Decay in Children Percent of Third Grade Children with Untreated Decay ABC Region and Wisconsin (Year) • Cut & paste data here • Enter name of county/community and year of data in title above. Source: WI Division of Public Health/Make Your Smile Count Survey
Communicable Diseases:Why This Matters • Communicable diseases includes: • Foodborne & waterborne, respiratory, vaccine-preventable, sexually transmitted and other • Prompt identification and control can reduce: • Illness, death, health care costs and absenteeism • Viral hepatitis, influenza and TB: among the leading causes of illness and death in US
Communicable Diseases:Why This Matters (continued) • Foodborne illness: • Millions of illnesses every year in U.S. • Children under 4 have highest incidence • Adults over 50 are at highest risk of serious complications • Respiratory infections (including influenza & pneumonia): • 8th leading cause of death in U.S. (2013) • Vaccine-preventable diseases: • Each year in US: 42,000 adults and 300 children die of vaccine-preventable diseases • Each birth cohort vaccinated with the routine schedule: • Saves 33,00 lives • Prevents 14 million cases of disease • Reduces direct health care costs by $9.9 billion Sources: Healthiest Wisconsin 2020; Healthy People 2020; Centers for Disease Control and Prevention
Communicable Disease:Influenza Immunizations in Seniors % of population age 65 and older who had a flu shot in the last 12 months XYZCommunity and Wisconsin (Year) • Cut & paste data here • Enter name of county/community and year of data in title above. Source: WI Department of Health Services WISH
Communicable Disease:Childhood Immunization Rates Percent of children aged 19 to 35 months who received the recommended doses of vaccines XYZCommunity and Wisconsin (Year) • Cut & paste data here • Enter name of county/community and year of data in title above. Source: DHS/WI Immunization Registry (WIR)
Communicable Disease:Major Diseases Rate per 100,000 population of top reportable communicable diseases XYZCommunity and Wisconsin (Year) • Cut & paste data here • Enter name of county/community and year of data in title above. Source: WI Public Health Information Network - AVR
Mental Health: Why This Matters • Essential to: personal well-being, relationships, ability to contribute to society • Mental disorders: one of most common causes of disability • 13 mil adults have seriously debilitating mental illness each year in US • Suicide is 10th leading cause of death overall in US (30,000 per year) (2013) • Estimated 8 -12 attempts for every suicide death • Mental health issues are associated with physical health problems including: • Smoking, physical inactivity, obesity and substance abuse Sources: County Health Rankings (2014); Healthiest Wisconsin 2020; Healthy People 2020; Suicide Voices of Awareness (2014); Centers for Disease Control and Prevention
Mental Health:Poor Mental Health Average number of mentally unhealthy days reported in past 30 days (age-adjusted) XYZCommunity and Wisconsin (Year) • Cut & paste data here • Enter name of county/community and year of data in title above. Source: County Health Rankings/BRFSS
Mental Health: Hospitalization for Intentional Injury Self-inflicted hospitalization rate per 100,000 population XYZCommunity and Wisconsin (Year) • Cut & paste data here • Enter name of county/community and year of data in title above. Source: WI Department of Health Services WISH
Mental Health: Youth Suicide Percent who seriously considered attempting suicide during the 12 months before the survey Either: XYZ School District(s) and Wisconsin (Year) Or: Wisconsin (Year) • Cut & paste data here • Choose school district(s) or statewide data in title above • Enter name of school district(s) if applicable in title above • Enter year of data in title above Source: Youth Risk Behavioral Survey (YRBS)
Injury & Violence:Why This Matters • Injury is leading cause of death in ages 1-44 (2013) • Injury is the leading cause of disability (in all ages, genders, races/ethnicities, socio- economic status) • Nearly 193,000 injury deaths/year in US (2013) • Many think of injuries as “accidents” or “acts of fate” but most are predictable and preventable Sources: The Burden of Falls in Wisconsin (2010); Healthy People 2020; County Health Rankings (2014); Centers for Disease Control and Prevention
Injury & Violence: Youth Seat Belt Use Percent who rarely or never wore a seat belt when riding in a car driven by someone else Either: XYZ School District(s) and Wisconsin (Year) Or: Wisconsin (Year) • Cut & paste data here • Choose school district(s) or statewide data in title above • Enter name of school district(s) if applicable in title above • Enter year of data in title above Source: Youth Risk Behavioral Survey (YRBS)
Injury & Violence: Hospitalizations for Injuries Ranked causes of hospitalizations for injuries (age-adjusted per 100,000 population) XYZCommunity and Wisconsin (Year) • Cut & paste data here • Enter name of county/community and year of data in title above. Source: WI Department of Health Services WISH
Injury & Violence: Deaths Due to Falls in Elderly Injury deaths due to falls for age 65 and older (per 100,000 population) XYZCommunity and Wisconsin (Year) • Cut & paste data here • Enter name of county/community and year of data in title above. Source: WI Department of Health Services WISH
Alcohol & Drug Use:Why This Matters • Estimated 22 million people per year in the US have drug and alcohol problems • Can lead to: • Fetal alcohol spectrum disorder • Alcohol and drug dependencies • Liver, brain, and heart disease • Contributes to costly physical, mental and public health problems including: • Teenage pregnancy • HIV/AIDS and other STDs • Domestic violence • Child abuse • Motor vehicle crashes • Physical fights • Crime • Homicide • Suicide Sources: Centers for Disease Control and Prevention; Healthiest Wisconsin 2020; Healthy People 2020
Alcohol & Other Drugs: Excessive Drinking in Adults Percent of the adult population that reports either binge drinking or heavy drinking XYZCommunity and Wisconsin (Year) • Cut & paste data here • Enter name of county/community and year of data in title above. Source: County Health Rankings/BRFSS
Alcohol & Drug Use:Alcohol-impaired Driving Deaths Proportion of driving deaths with alcohol involvement XYZCommunity and Wisconsin (Year) • Cut & paste data here • Enter name of county/community and year of data in title above. Source: County Health Rankings/National Highway Traffic Safety Administration