Presentation - Orange County

Report
H E A LT H Y C A R O L I N I A N S O F O R A N G E C O U N T Y
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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HEALTHY CAROLINIANS OF ORANGE COUNTY
•
A network of community members and service providers
partnering to promote health and wellness in Orange
County
•
Members are representatives from schools, human
service agencies, churches, civic groups, businesses,
local government, UNC Chapel Hill, health care
organizations including UNC Healthcare, and concerned
citizens.
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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HEALTHY CAROLINIANS OF ORANGE COUNTY
•
Mission is to advocate, guide and assist Orange County
in planning and implementing health care strategies to
promote healthy lifestyles, improve health status and
prevent premature death and injury for ALL residents in
the county regardless of age, race, income, or
educational level.
• Overall goal of the partnership is to reduce health
disparities
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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HEALTHY CAROLINIANS OF ORANGE COUNTY
• What We Do
 Build and promote collaborative partnerships
 Guide local planning efforts to improve health
 Support innovative health programs
 Advocate for health-promoting policies
 Identify critical health needs in the community
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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ACKNOWLEDGMENTS
•
Thanks to the residents of Orange County, Community
Health Assessment Team members, and all Healthy
Carolinians partners and member agencies who helped
to guide and make the assessment a true community
process.
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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COMMUNITY HEALTH ASSESSMENT: OVERVIEW
• Required of all NC Health Departments every 4 years
• Collaborative process with multiple stages
 Over 50 Leadership Team members
 Nearly 150 community survey volunteers
 30+ document writers
 Close to 200 forum participants
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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COMMUNITY HEALTH ASSESSMENT: GOALS
• Enable local public health officials/community groups to
 Monitor trends in health status
 Identify priorities among health issues
 Determine the availability of resources
• Document
 Useful, relevant, actionable, reflective, forward-looking
• Information gathered lays the foundation for effective,
strategic community health planning
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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HEALTH ASSESSMENT PROCESS: PHASES
Phase 1: Establish Community Assessment Team
Phase 2: Collect Community Data
Phase 3: Collect and Analyze Community Health Statistics
Phase 4: Combine County Statistics and Community Data
Phase 5: Solicit Community Input to Select Health Priorities
Phase 6: Create Community Health Assessment Document
Phase 7: Disseminate CHA Document to the Community
Phase 8: Develop the Community Health Action Plans
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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DATA SOURCES AND COMMUNITY INVOLVEMENT
• Both primary and secondary data sources
• Community Involvement
 Various roles
 Involvement at every stage
 Planning
 Data collection
 Identification of health issues, community strengths
 Development of strategies to address problems
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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QUANTITATIVE: HEALTH OPINION SURVEY
•
•
•
•
Community Health
Opinion Survey
Survey households
sampled from census
blocks with high
poverty percentage
Administered in
multiple languages
Covered various topics
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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QUALITATIVE: FOCUS GROUPS AND FORUMS
• Nine focus groups
 Gain well-rounded understanding of health concerns
 Nearly 70 community voices
• Five community forums
 Almost 200 participants
 Presented and discussed main data findings
 Selected initial priorities
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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COMMUNITY HEALTH ASSESSMENT: FULL REPORT
• Available online
www.orangecountync.gov
/healthycarolinians
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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COMMUNITY PROFILE: DEMOGRAPHICS
• Population has more than doubled in past four decades
 Total: 57,567 (1970) to 133,801 (2010)
 About a 5.8% rate of increase every ten years
• Age
 Median: 33 years old
Age and Percent of Total Population (2010)
Age Group
Percent
Under 5 years
5.1%
Under 18 years
20.9%
Under 25 years
39.1%
Between 25-65 years
51.3%
65 years or older
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
9.6%
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COMMUNITY PROFILE: DEMOGRAPHICS
• Gender
 52.2% female / 47.8% male
• Rural/Urban
 57% of residents live in southern “urban” areas of Chapel
Hill and Carrboro
 43% live throughout rural areas
• Diversity
 Race and ethnicity
 Country of origin
 Languages
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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COMMUNITY PROFILE: DEMOGRAPHICS
Race and Ethnicity Demographics, Percent of Total Population
NC
Orange County Carrboro Chapel Hill Hillsborough
White
68.5
74.4
70.9
72.8
62.9
Black
Hispanic or
Latino of any
race
Asian
American Indian
and Alaska
Native
21.5
11.9
10.1
9.7
29.5
8.4
8.2
13.8
6.4
6.6
2.2
6.7
8.2
11.9
1.7
1.3
0.4
0.4
0.3
0.6
0.1
0.0
0.0
0.0
0.0
4.3
4.0
7.5
2.7
3.3
2.2
2.5
2.9
2.7
2.1
Native Hawaiian
and Other Pacific
Islander
Some other race
Two or more
races
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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PROFILE: LEADING CAUSES OF DEATH
Leading Causes of Death in Orange County,
% and Number, 2005-2009
OC Rank
Cause of Death
OC % NC % OC #
NC #
1 Cancer
24.6
22.8
859 86,246
2 Diseases of heart
21.2
23.0
742 86,920
3 Cerebrovascular diseases
5.5
6.0
191 22,600
4 Chronic lower respiratory diseases
4.4
5.6
155 21,228
5 All other unintentional injuries
2.9
3.4
100 12,896
6 Influenza and pneumonia
2.7
2.3
96
7 Alzheimer's disease
2.2
3.3
78 12,386
8 Motor vehicle injuries
2.1
2.1
74
9 Diabetes mellitus
2.0
2.9
69 10,906
1.5
NA
51
10 Intentional self-harm (suicide)
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
8,632
8,027
NA
19
PROFILE: DEATH RATES, AGE ADJUSTED
Age-adjusted death rates (per 100,000 population)
OC Rank
Orange County and NC, 2005-2009
Cause of Death
OC Rate NC Rate
1 Cancer
158.4
185.6
2 Diseases of Heart
141.8
191.7
3 Cerebrovascular Disease
Chronic Lower Respiratory
4
Diseases
5 Pneumonia and Influenza
37.2
50.5
30.7
47.0
18.6
19.4
6 Alzheimer's disease
17.5
28.3
7 All Other Unintentional Injuries
17.2
28.6
8 Diabetes Mellitus
14.5
23.6
12.8
12.0
12.1
18.7
9 Suicide
Nephritis, Nephrotic Syndrome,
10
and Nephrosis
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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PROFILE: LEADING CAUSES OF DEATH
Top-5 Leading Causes of Death
Orange County, %, by Year, 2005-2009
Percent of Total Deaths
30
Cancer
25
20
Diseases of heart
15
Cerebrovascular
diseases
Chronic lower
respiratory diseases
All other unintentional
injuries
10
5
0
2005
2006
2007
2008
2009
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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PROFILE: LEADING CAUSES OF HOSPITALIZATION
Leading Causes of Hospitalization
Orange County and North Carolina, 2009
Cause
Other diagnoses (incl. mental disorders)
Cardio-vascular and circulatory diseases
Pregnancy and childbirth
Digestive system diseases
Injuries and poisoning
Respiratory diseases
Musculo-skeletal system diseases
Genito-urinary diseases
OC %
16.6
16.4
16.1
11.3
10.7
8.2
7.7
4.6
NC %
10.1
19.3
15.7
11
9.4
11.8
6.9
5.4
Endocrine, metabolic and nutritional diseases
4.2
4.7
Malignant neoplasms
4.2
NA
Symptoms, signs and ill-defined conditions
NA
5.7
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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HEALTH DISPARITIES
• Health depends largely on
 Economic status, income
 Race/ethnicity
 Where someone lives (Place, geography)
• Rates of disease and health outcomes significantly
worse among economically disadvantaged, particular
racial and ethnic minorities, and rural populations.
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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DETERMINANTS OF HEALTH
•
•
•
•
•
•
•
•
•
•
Built Environment
Child Care
Crime and Safety
Education
Housing and Homelessness
Hunger and Food Insecurity
Income and Poverty*
Labor and Employment*
Parks and Recreation
Transportation
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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DETERMINANTS OF HEALTH: INCOME, POVERTY
• Median household income: $51,944 (2009)
Percentage below the Poverty Level
by Age and Gender
% Below Poverty Level
NC
Orange County
Population for whom poverty status is
determined
Age
Under 18 years
18 to 64 years
65 years and over
Gender
Male
Female
17.5
20.1
24.9
16.2
9.9
22.2
20.8
11.3
16.2
18.7
18.4
21.6
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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DETERMINANTS OF HEALTH: POVERTY
Percentage below the Poverty Level
by Race and Hispanic or Latino Origin
One Race
White
Black or African American
American Indian and Alaska Native
Asian
Native Hawaiian and Other Pacific
Some other race
Two or other races
Hispanic or Latino origin (of any race)
White alone, not Hispanic or Latino
% Below Poverty Level
NC
Orange County
17.3
NA
13.2
20.2
27.7
23.0
31.2
NA
14.1
14.1
26.8
NA
36.7
NA
24.3
33.9
49.8
11.8
16.8
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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DETERMINANTS OF HEALTH: LABOR, EMPLOYMENT
Unemployment Rate (%)
by Gender, Poverty Status, and Disability Status
Unemployment Rate (%)
NC
Orange County
Gender
Male
Female
With own children under 6 years
Poverty status in the past 12 months
Below poverty level
Disability status
With any disability
12.3
11.4
14.7
10.1
9
6.7
36.2
22
23.2
41.1
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HEALTHY CAROLINIANS OF ORANGE COUNTY
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2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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• Includes the availability and
affordability of health care
services and insurance,
ability to navigate and
understand the health
system, access and
transportation to services,
and information about
health care.
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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• Includes human-made
structures such as
sidewalks, streets, housing,
businesses, schools, parks,
and, more broadly, land use
patterns. The built
environment impacts safety
and the ability to get
exercise, to access good
nutrition, and health care
services.
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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• The leading cause of death in
Orange County in 2010 and
has been ranked as #1 in 9 of
the past 10 years. It is
estimated that nearly 80% of
cancers are due to factors
that can be prevented:
tobacco use, poor nutrition,
lack of physical activity, and
exposure to radiation. Many
cancers are highly treatable
with advanced screening.
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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• Regular exercise and
proper nutrition
significantly contribute to
physical and mental health;
and can help prevent
chronic diseases like
diabetes, heart disease,
stroke and cancer. Physical
activity and good nutrition
are important in
maintaining a healthy body
weight.
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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• Includes air quality;
drinking, and ground
water quality; and lead
hazards.
Environmental health
issues local to
neighborhoods may
exist in addition to
these key factors.
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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• Addresses unintentional
injuries like motor
vehicle crashes, falls,
poisonings, drowning,
etc., and intentional
injuries, or violence,
which includes sexual
assault, child abuse,
domestic violence,
homicide, and suicide.
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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•
Refers to a wide range of conditions that
affect one’s mood, thinking and behavior.
Broad classes of illness include mood
disorders (depression, bipolar disorder),
anxiety disorders, psychotic disorders
(schizophrenia), eating disorders,
personality adaptations or disorders, and
addictive behaviors/substance abuse
disorders. Many factors contribute to its
onset, including genetics, biological
factors, life experiences, and brain
chemistry, though everyday stress.
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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• Not only includes tooth and
gum health, but also has
overall health impacts (gum
disease contributes to heart
disease; tobacco use
contributes to tooth decay).
Issues in oral health include
availability of affordable
dental insurance, access to
regular and preventative care,
and population specific
issues.
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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• Includes alcohol abuse and
illegal drug use, but also
includes underage drinking,
traffic accidents, prescription
drug abuse/misuse, and
injury related to alcohol and
drugs. It often connects with
mental health needs.
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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•
Transportation systems impact quality
of life and health. Expanding active
transportation (walking and biking)
options and safety can prevent
disease, reduce and prevent motorvehicle-related injury and deaths,
improve environmental health,
stimulate the economy and improve
equal access to resources. Accessible
and affordable transportation is
particularly an issue in rural areas, for
those with disabilities, older citizens
and lower-income people.
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HEALTHY CAROLINIANS OF ORANGE COUNTY
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2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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RANKED TOP 10 ORANGE COUNTY PRIORITIES
1. Access to Health Care, Insurance, and Information
2. Chronic Disease: Exercise, and Nutrition
3. Mental Health
4. Transportation
5. Built Environment
6. Cancer
7. Substance Abuse
8. Environmental Health
9. Oral Health
10. Injury

Write-ins: Teen Pregnancy/Youth Health, Sexual health,
Socio-economic Development
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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TOP 5 HEALTHY CAROLINIANS PRIORITIES
1. Access to Health Care, Insurance, and Information
2. Chronic Disease: Exercise and Nutrition
3. Mental Health
4. Substance Abuse
5. Injury
 Current Healthy Carolinians of Orange County Focus Areas
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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ACCESS TO HEALTH CARE
• Orange County has highest per capita number of physicians and
dentists in NC
 88.9 physicians, 10.4 dentists per 10,000 population
• 18.3% of Orange County residents do not have one or more persons
that they considered a doctor or health care provider
• Close to 28% of residents did not visit a doctor for a routine (general
physical exam) checkup within the past year
• 14.8% of county residents could not see a doctor due to cost
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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ACCESS TO HEALTH CARE
• In addition to medical insurance, factors contributing to a
resident’s inability to access health care services include
 Concentration of health care resources in the southern
part of county
 Inadequate transportation systems in the central and
northern parts of Orange County
 Language barriers; Recent relocation to the county from
another country
 Perceived disparities (or racism) within health care
facilities
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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ACCESS: ORANGE COUNTY MEDICAL FACILITIES
• Medical facilities
(hospitals, urgent care
facilities, and health
departments) in the county
are all within city limits of
Chapel Hill, Carrboro, or
Hillsborough.
• This map does not include
private physician or dentist
offices.
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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ACCESS TO HEALTH INSURANCE
• 2008-2009 county-level estimates of uninsured
 18.9% (21,854) of Orange County residents, 0-64
years of age
• Due to economic recession, rise in unemployment rates
consistent with rise in uninsured residents
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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ACCESS TO HEALTH INFORMATION
• Health Literacy
 “The degree to which individuals have the capacity to
obtain, process, and understand basic health information
and services needed to make appropriate health decisions.”
 Extends beyond a person’s reading and writing skills
 Ability to comprehend spoken words
 Use numeracy and math skills for calculations
 Navigate the health care system
 Transcends income and education levels
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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CHRONIC DISEASE: CANCER
• Cancer
 Leading cause of death in Orange County (2010)
 Ranked as leading cause of death in 9 of past 10 years
 Among all cancers, death rate per 100,000 population was 163.3
(2008)
 Lower cancer death rates than NC (2008)
 Responsible for 859 deaths (2005-2009)
 Total number of cancer deaths decreased slightly in comparison
with previous time periods
 Difference in cancer deaths between racial groups is dramatic
 For all common cancers, African Americans had higher death
rate than whites
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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CHRONIC DISEASE: DIABETES
• Diabetes
 2001-2005, age-adjusted diabetes death rates for Orange County
was 17.8 per 100,000 (NC rate was 27.6 per 100,000)
 Percentage county residents with diabetes varied in recent years
Disparities in Diabetes Orange County NC Residents
Male
Female
White
Race
Other
18-44
Age
45+
Education High school or less
Some college
Gender
% with
Diabetes
2005 2010
4.2
4.1
6.1
7.1
3.5
3.8
11.6 10.5
2.3
1.5
10.8
8.1
6.5
8.0
5.3
4.5
% without
Diabetes
2005 2010
95.4
94.5
91.7
90.0
95.2
95.0
87.9
82.8
96.9
96.4
87.0
90.0
90.4
91.3
92.9
94.0
% Borderline Diabetes
2005
1.4
1.6
0.8
3.9
0.9
2.2
1.7
1.4
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
2010
0.4
1.1
1.0
0.0
0.0
1.6
0.7
0.8
50
CHRONIC DISEASE: HEART DISEASE AND STROKE
• Heart Disease and Stroke
 Second leading cause of death
 137 deaths due to heart disease; 29 due to cerebrovascular
disease (2009)
 Heart disease and cerebrovascular disease leading causes of
hospitalizations, hospital expenses
 Heart disease: $31,730,269
 Cerebrovascular disease: $7,290,187
 Age-adjusted death rate for heart disease decreasing
 2001-2005: 165.3 per 100,000
 2009: 148.4 per 100,000
 Age-adjusted death rate for cerebrovascular disease is 39.0 per
100,000 (2009)
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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CHRONIC DISEASE: OBESITY, OVERWEIGHT
• Obesity and Overweight
 Contributes to the burden of cancer, heart disease, stroke
 Rate of overweight or obese among residents 18 and older
 Overall rate dropped from 56% to 48.1% (2007-2009)
 However, recent increase to 53.2% (2010)
 Rate of overweight among 2-4 year olds has decreased
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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CHRONIC DISEASE: EXERCISE AND NUTRITION
• Physical activity and proper nutrition
 Important to reach a healthy body weight
 Meeting recommendations can help prevent cardiometabolic conditions
 Healthy eating in childhood and adolescence important for
proper growth and development
• 31.1% of residents consume five or more servings of fruits or
vegetables per day (2009)
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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MENTAL HEALTH AND SUBSTANCE ABUSE
• Suicide
 Among top 10 leading causes of death
 Rates fluctuated (2000-2009), ranging from a low of
5.8/100,000 to a high of 18.5/100,000
• High stress/Poor mental health
• Substance abuse
 Increasing prevalence of prescription drug abuse/misuse
 Underage drinking
 Driving under the influence
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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MENTAL HEALTH AND SUBSTANCE ABUSE
• Contributing factors
 System instability
 Family and community violence
 Barriers to access
 Stigma
 Lack of knowledge about existing services
 Lack of adequate insurance or co-pays
 Lack of specific service/needing more options
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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TOBACCO
• Tobacco use remains leading preventable cause of death
• 11.5% of county residents report smoking some days or every day,
compared to 20.3% in NC (2009)
• 14.5% of high school students report using tobacco (cigarettes,
cigars, smokeless tobacco) in the past 30 days (2011)
• 8.1% of people exposed to secondhand smoke in workplace (2008)
• Educational attainment, employment correlated with secondhand
smoke exposure
• Percentage of mothers who smoked during pregnancy has been
decreasing since 1994
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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INJURY AND VIOLENCE
• Broad topic: Injury-related health issues including
 Unintentional injuries: Motor vehicle crashes, falls, poisonings,
drowning, etc.
 Intentional injuries/violence: Sexual assault, child abuse,
domestic violence, suicide, human trafficking, etc.
• Unintentional injuries a leading cause of death for ages 1-44
• Intentional injuries (or violence) likewise pervasive and a leading
cause of death/hospitalization, especially for ages 15-35
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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TAKING ACTION, TOGETHER
• Many efforts underway to address priority areas; new
initiatives needed to respond to identified gaps
• Progress requires total community involvement to
improve the quality of life for people living in Orange
County
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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TAKING ACTION, TOGETHER
• Join the more than 125 other individuals and 80 county
agencies and organizations who are partnering with
Healthy Carolinians of Orange County to find creative
solutions so that all Orange County residents can choose
health as their first priority
• To find out how to become involved with work groups
addressing the top health concerns in the county, please
contact the Healthy Carolinians Coordinator
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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CONTACT INFORMATION
Nidhi Sachdeva MPH, CHES
•
•
•
•
•
•
Healthy Carolinians Coordinator
Orange County Health Department
300 West Tryon Street | Hillsborough, NC 27278
Phone: 919.245.2440
Email: [email protected]
Website, Full Report, Membership Information:
http://www.co.orange.nc.us/healthycarolinians
2011 COMMUNITY HEALTH ASSESSMENT
HEALTHY CAROLINIANS OF ORANGE COUNTY
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