state of the countys health 2006 iredell sotch report by shirin scotten healthy carolinians...
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State Of The County’s Health
2006 Iredell SOTCH Report
By Shirin Scotten
Healthy Carolinians Coordinator
A Typical Day in Iredell in 2006
6 Births: 3 Marriages
1 to a Smoking Mother 1 Divorce
2 Out-of-Wedlock 3 Deaths
2 Cesarean Sections 1 Infant Death per Month
Vital Statistics Vol. I
2005 Iredell Population (140,924)by Race
0% 2% 0% 1%
13%
84%
White/Caucasian
Black-American
American Indian
Asian
Pacific Islander
2 or More
US Census
2005 Iredell Population (140,924) of Hispanic Origin
No, 95.4%
Yes, 4.6%
US Census
Average Weekly Wage Per Iredell Employee by Year
$561 $575 $580 $605
$695
$0
$100
$200
$300
$400
$500
$600
$700
$800
1st Quarter2003
1st Quarter2004
4th Quarter2004
2nd Quarter2005
1st Quarter2006
Department of Commerce
Providers per Resident by Year
Iredell County 2002 2004
People per Physician§ 545 539
People per Nurse (RN)§ 96 93
People per Dentist§ 2,145 2,098
Child per Childcare Position*
NA 1.5
Department of Commerce
§ From 2002 to 2004 the number of people living in Iredell increased by roughly 6,000 people, so the number of healthcare providers must have increased as well.
* Proportion of children age 5 and younger to the number of childcare positions in the county. It reads, “for every 3 children age 5 and younger, there are 2 childcare positions.”
Adult Health Insurance Coverage by Year
86%84%81%83%
17% 19% 16% 14%
0%
20%
40%
60%
80%
100%
NC 2004 NC 2005 Iredell 2004 Iredell 2005
Not Insured
Covered
Despite a statewide decrease in health insurance coverage, more Iredell residents were covered in 2005 than in 2004. There are differences by gender, age, income, etc. One positive change from 2004: insurance coverage for “other” increased from 63.1% to 72.3%. BRFSS
Cigarette Use by Year
52% 54% 51% 52%
23% 24% 25% 20%
5% 6% 5% 8%
17% 17% 19% 20%
0%
20%
40%
60%
80%
100%
NC 2004 NC 2005 Iredell2004
Iredell2005
Smoke Everyday
Smoke Some Days
Former Smoker
Never Smoked
Iredell residents smoke more than the state average and fewer Iredell residents never started than across the state. There are trends in smoking percentages by gender, race, age, education and income, but none are terrifically striking.
BRFSS
HIV by Year
46% 44% 50%37%
54% 56% 51%63%
0%
20%
40%
60%
80%
100%
NC 2004 NC 2005 Iredell 2004 Iredell 2005
NoYes
Percent of survey respondents who said they had ever been tested for HIV, not including blood donation.
Iredell residents are about as likely to have been tested for HIV as others across the state. Young adults were more likely to get tested than older adults (45+ years). Close to 3% of people in Iredell reported participating in high risk behaviors that are associated with more effective HIV transmission. BRFSS
Teen Pregnancy by Race, 2004
62.4
83.4
60.4
101.7
0
20
40
60
80
100
120
NC Total NCMinority
IredellTotal
IredellMinorityP
reg
nan
cies
per
1,0
00 T
een
s A
ge
15-1
9
NC Total
NC Minority
Iredell Total
Iredell Minority
Minority teens are more likely to have teen pregnancies than white teens across the state and within Iredell County.
County Health Data Book
Infant Mortality by Race, 2000-2004
8.4
14.6
8.6
16.1
0
2
4
6
8
10
12
14
16
18
NC Total NCMinority
IredellTotal
IredellMinority
Dea
ths
per
1,0
00 I
nfa
nt
Bir
ths
NC Total
NC Minority
Iredell Total
Iredell Minority
Minority infants are more likely to die in the first year than white infants across the state and within Iredell County.
County Health Data Book
Mental Health by YearFor how many days during the past 30 days was your
mental health not good (including stress, depression and problems with emotions)?
75% 71% 73% 72%
6% 8% 7% 9%7% 9% 6% 8%6% 7% 7% 6%
0%
20%
40%
60%
80%
100%
NC 2004 NC 2005 Iredell 2004 Iredell 2005
8-29 Days
3-7 Days
1-2 Days
None
In both years surveyed, whites in Iredell were more likely to report no (“none”) days when their mental health was not good compared to minorities.
BRFSS
Substance Abuse, 2005% of Population Engaging in Heavy Alcohol
Consumption in the Past 30 Days in 2005
2.9%3.8%
10.5%
14.3%
0%
2%
4%
6%
8%
10%
12%
14%
16%
NC Iredell
Heavy
Binge
Heavy drinking is more than 2 drinks per occasion for males and more than 1 for females. Binge drinking is more than 5 drinks per occasion.
BRFSS
The Leading Causes of Death2000-2004
• Diseases of the Heart– Acute Myocardial Infarction– Other Ischemic Heart Disease
• Cerebrovascular Disease• Cancer
– Colon, Rectum & Anus– Pancreas– Trachea, Bronchus & Lung– Female Breast– Prostate
• Diabetes• Pneumonia & Influenza
• Chronic Lower Respiratory Diseases
• Chronic Liver Disease & Cirrhosis
• Septicemia• Nephritis, Nephrotic
Syndrome & Nephrosis• Unintentional Motor Vehicle
Injuries• Suicide• Homicide• Alzheimer’s Disease• AIDS
Compared to NC, Iredell Residents Die From
-100% -50% 0% 50% 100%
All Causes
AIDS
Alzheimer's Disease
Homicide
Suicide
All Other Unintentional InjuriesUnintentional Motor Vehicle Injuries
Nephritis, Nephrotic Syndrome & Nephrosis
Septicemia
Chronic Liver Disease & Cirrhosis
Chronic Lower Respiratory Diseases
Pneumonia & InfluenzaDiabetes
Cancer: Prostate
Cancer: Female Breast
Cancer: Trachea, Bronchus & Lung
Cancer: PancreasCancer: Colon, Rectum & Anus
Cancer
Cerebrovascular Disease
Other Ischemic Heart Disease
Acute Myocardial Infarction
Diseases of Heart
In Iredell, Compared to Females, Males Die From
-400% -300% -200% -100% 0% 100% 200% 300% 400%
All Causes
AIDS
Alzheimer's Disease
Homicide
Suicide
All Other Unintentional InjuriesUnintentional Motor Vehicle Injuries
Nephritis, Nephrotic Syndrome & Nephrosis
Septicemia
Chronic Liver Disease & Cirrhosis
Chronic Lower Respiratory Diseases
Pneumonia & InfluenzaDiabetes
Cancer: Prostate
Cancer: Female Breast
Cancer: Trachea, Bronchus & Lung
Cancer: PancreasCancer: Colon, Rectum & Anus
Cancer
Cerebrovascular Disease
Other Ischemic Heart Disease
Acute Myocardial Infarction
Diseases of Heart
In Iredell, Compared to Whites, Minorities Die From
-500% -300% -100% 100% 300% 500%
All CausesAIDS
Alzheimer's DiseaseHomicide
SuicideAll Other Unintentional Injuries
Unintentional Motor Vehicle InjuriesNephritis, Nephrotic Syndrome & Nephrosis
SepticemiaChronic Liver Disease & Cirrhosis
Chronic Lower Respiratory DiseasesPneumonia & Influenza
DiabetesCancer: Prostate
Cancer: Female BreastCancer: Trachea, Bronchus & Lung
Cancer: PancreasCancer: Colon, Rectum & Anus
CancerCerebrovascular Disease
Other Ischemic Heart DiseaseAcute Myocardial Infarction
Diseases of Heart
In Iredell,for every white death, ___ minorities die
• Cerebrovascular Disease (1.5)• Cancer: Pancreas (2.2)• Cancer: Prostate (2.1)• Diabetes (2.4)• Septicemia (2)• Nephritis, Nephrotic Syndrome, Nephrosis
(2.1)• Homicide (5.5)• AIDS (5.4)
In Iredell,for every female death, ___ males die
• Diseases of Heart (1.5)• Other Ischemic Heart Disease (2.1)• Cancer: Trachea, Bronchus & Lung (2.7)• Chronic Lower Respiratory Diseases (2.1)• Chronic Liver Disease & Cirrhosis (2.9)• Septicemia (1.5)• Nephritis, Nephrotic Syndrome & Nephrosis (1.7)• Unintentional Motor Vehicle Injuries (1.9)• All Other Unintentional Injuries (1.8)• Suicide (3.3)• Homicide (4.7)• AIDS (4.7)
Iredell County Healthy Carolinians
• Certified by the Governor’s Task Force
• Mission– Citizens working together, emphasizing
preventive health practices to improve the quality of life and health status of all individuals.
2004 Prioritization
• Chronic Disease (Heart Disease, Cancer, and Stroke)– Prevention activities targeted lifestyle
changes in physical fitness and nutrition
• Cancer– Prostate Cancer among minority men
• Dental Health
Adult Body Composition by Year
1% 2% 2% 1%
36% 36% 33% 35%
38% 37% 41% 37%
25% 26% 25% 27%
0%
20%
40%
60%
80%
100%
NC 2004 NC 2005 Iredell2004
Iredell2005
Obese
Overweight
Recommended
Underweight
Across North Carolina 63% of adults are overweight or obese. In Iredell County, there are slightly more overweight or obese adults than the NC average. Males are associated with higher percentages of obesity in Iredell.
BRFSS
Adult Physical Activity, 2005
42% 45%
40%42%
18% 13%
0%
20%
40%
60%
80%
100%
NC Iredell
Physically Inactive
Some PhysicalActivity
MeetsRecommendation
Iredell residents are more physically active than North Carolina residents as a whole but that still leaves 55% of adults not meeting the recommended level of physical activity for health. Young adults appear to be more active than older (45+) adults.
BRFSS
Adult Fruit & Vegetable Consumption, 2005
Fruit and Vegetable Servings Consumed Per Day
5% 5%
33% 33%
40% 39%
23% 23%
0%
20%
40%
60%
80%
100%
NC Iredell
5 Or More Times
3 To Less Than 5 Times
1 to Less Than 3 Times
Less Than Once Or Never
Fewer than a quarter of Iredell and NC adults meet the recommended 5-A-Day consumption of fruits and vegetables. More of those are female rather than male.
BRFSS
Prostate Cancer
• Promoted screenings to men through trained Male Peer Educators
• Screenings offered at no-cost through local hospitals
Prostate Cancer Deaths by Race, 2000-2004
24.8
67.2
22.0
46.6
0
10
20
30
40
50
60
70
80
NC White NCMinority
IredellWhite
IredellMinority
Dea
ths
per
100
,000
NC White
NC Minority
Iredell White
Iredell Minority
County Health Data Book
PSA Awareness by Race, 2004"Has a doctor ever talked with you about having any kind of screening test or exam to check for
prostate cancer?"
67% 58%
33% 42%
0%
20%
40%
60%
80%
100%
NC Iredell
No
Yes
Minorities and young adults under age 45 were twice as likely to have NOT spoken with a doctor about a prostate screening exam.
BRFSS
PSA Screening by Race, 2005
65% 71% 70%78%
22%30%29%35%
0%
20%
40%
60%
80%
100%
NC White NCMinority
IredellWhite
IredellMinority
Not Tested
Tested
In Iredell County, more men have been tested for prostate cancer than across NC. Furthermore, more minorities than whites have been tested!
BRFSS
Male Peer Educator (MPE) Screenings
Iredell County 2005 2006
Education Sessions
5
Men Screened 159 270
Black-Americans
33
Total Male Peer Educators
10 20
Local Physical Activity and Nutrition (LPAN) Activity
• Increase adult physical activity– Promote trails, parks, and recreation areas– Mark and promote downtown walking trail linking
downtown shops and businesses
• Decrease childhood obesity– Promote Winner’s Circle in schools– Provide nutrition and physical activity information
to students and parents– Support and advocate for policy changes that
promote healthier food options for students
• After an intense Winner’s Circle promotion, more students were aware of the healthy selection markings. (27% vs. 42%)
• Students were influenced to purchase healthy choices also. (18% vs. 25%)
Mooresville High School Eating & Activity Behaviors Post Survey
Winner's Circle awareness
63% 53%
27% 42%
9% 5%
0%
20%
40%
60%
80%
100%
Pre Post
No Answ er
Aw are
Not Aw are
Iredell County ESMM NC Community Grants Program 2005-2006
Mooresville High School Eating & Activity Behaviors Post Survey
Selection of Winner's Circle items
75% 70%
18% 25%
8% 5%
0%
20%
40%
60%
80%
100%
Pre Post
No Answ er
Have Purchased
Have Not Purchased
Iredell County ESMM NC Community Grants Program 2005-2006
Adults Using Winner’s Circle, 2005
36% 29%
64% 71%
0%
20%
40%
60%
80%
100%
NC Iredell
Don't Use
Use
Although only 12% of adults in Iredell are familiar with Winner’s Circle, close to 30% use the purple star/ gold fork logo to guide their food choices. There are only 3 restaurants in Iredell County using Winner’s Circle at this time. There are considerably more statewide. BRFSS
Mooresville High School Eating & Activity Behaviors Post Survey
Frequency of moderate intensity exercise
0%
10%
20%
30%
40%
none 1 2 3-4 5-6 everyday
Days per week
Percent of students
Pre
Post
Iredell County ESMM NC Community Grants Program 2005-2006excluded respective 4%
and 1% "no answ er"
Mooresville High School Eating & Activity Behaviors Post Survey
Frequency of vigorous intensity exercise
0%
5%
10%
15%
20%
25%
30%
none 1 2 3-4 5-6 everyday
Days per week
Percent of students
Pre
Post
Iredell County ESMM NC Community Grants Program 2005-2006excluded respective 7%
and 3% "no answ er"
• Time spent on moderate and vigorous (below) intensity exercise increased.
• Sports participation also jumped by 5%.(not shown)
• After an intense hydration promotion and passing a bottled water in class policy, vending machine use dropped.
• Water purchases from vending machines did not change…
Mooresville High School Eating & Activity Behaviors Post Survey
Frequency of vending machine use
0%
20%
40%
60%
80%
never 1 2 3 4 5
Days per week
Percent of students
Pre
Post
Iredell County ESMM NC Community Grants Program
Mooresville High School Eating & Activity Behaviors Post Survey
Frequency of vending machine water purchases
0%
10%
20%
30%
40%
50%
60%
never 1 2 3 4 5
Days per week
Percent of students
Pre
Post
Iredell County ESMM NC Community Grants Program 2005-2006excluded respective 3%
and 2% "no answ er"
• …water consumption did not noticeably change.
• Students drank more sweetened beverages than before.
Mooresville High School Eating & Activity Behaviors Post Survey
Sweetened beverages consumption
0%
5%
10%
15%
20%
25%
30%
35%
none 6oz 12oz 16-20oz more than20ozAmount of sweetened beverages per day
Percent of students
Pre
Post
Iredell County ESMM NC Community Grants Program 2005-2006
excluded respective 0% and 1% "no answ er"
Mooresville High School Eating & Activity Behaviors Post Survey
Water consumption
0%
10%
20%
30%
40%
50%
60%
none 8-16oz 24-32oz 40-48oz 56-64oz >64oz
Amount of water per day
Percent of students
Pre
Post
Iredell County ESMM NC Community Grants Program 2005-2006
Next Steps
• Community Health Assessment is due December 2007!
• Recertification will be due May 2008!
• Continue supporting Chronic Disease and LPAN activities– Suggestions from Committees?
• New Strategies?
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