kenosha county community health survey 2019
TRANSCRIPT
KENOSHA COUNTYCOMMUNITY HEALTH SURVEY – 2019
Commissioned By:
Aurora Health Care
Children’s Wisconsin
Froedtert & the Medical College of Wisconsin
Kenosha Community Health Center
Kenosha County Public Health Department
Prepared By:
JKV Research, LLC
1
Overview
• Objectives• Gather data on behavioral and lifestyle habits of the
adult population and household-level data. • Gather data on random child (17 or younger) in
household through adult who makes health care decisions for child.
• Gather data on the prevalence of risk factors and disease conditions of the adult population.
• Compare health data of residents to previous health studies.
• Compare health data to national and state measurements.
Kenosha County Community Health Survey
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Methodology
• 18 minute telephone survey of area residents• 400 completions from July 15 through October 26, 2019• Two-fold sampling
• 1) RDD landline sample of listed & unlisted #s (n=200)• Respondents randomly selected based on number of adults
in household• Weighting based on number of adults and number of
residential phone numbers in HH • 2) Cell phone only sample (n=200)
• Adult answering the phone designated as the respondent• All data post-stratified by age and gender of adult residents as of
2010 Census proportions.• Margin of error: ±5%
Kenosha County Community Health Survey
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Respondent Demographics
Percent
Gender
Male 49%
Female 51%
Nonbinary/Other/Not Sure 0%
Household Income
Bottom 40 Percent Bracket 35%
Middle 20 Percent Bracket 15%
Top 40 Percent Bracket 39%
Not Sure/No Answer 11%
Kenosha County Community Health Survey
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Respondent Demographics (cont.)
Age Percent
18 to 34 30%
35 to 44 19%
45 to 54 21%
55 to 64 15%
65 and Older 15%
Kenosha County Community Health Survey
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Respondent Demographics (cont.)
Percent
Education
High school or less 29%
Some post high school 34%
College graduate 38%
Marital Status
Married 46%
Kenosha County Community Health Survey
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Health Care Coverage
• Personally Not Covered Currently (18+)
• WI 2018: 10%• US 2018: 11%• HP2020 Goal: 0%
• Personally Not Covered Currently (18 to 64 Years Old)
• WI 2018: 11%• US 2018: 13%• HP2020 Goal: 0%
12%15%
9% 8% 7%
14%17%
11%9% 8%
17%21%
18%
12%
19%22%
20%
14%11%
0%
20%
40%
60%
80%
2008 2011 2014 2016 2019
Personally Not Currently Covered (18 and Older)
Personally Not Currently Covered (18 to 64 Years Old)
Personally Not Covered in Past Year (18 and Older)
Someone in Household Not Covered in Past Year
Kenosha County Community Health Survey
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Unmet Health Care in Past Year
• HH Member Not Taken Prescribed Medication Due to Cost
• HP2020 Goal: 3%
• Delayed/Did Not Seek Care Due to Cost
• WI 2018: 10%• US 2018: 12%
• Unmet Medical Care in Household
• HP2020 Goal: 4%
• Unmet Dental Care in Household
• HP2020 Goal: 5%13% 13% 11%
21% 18%
21% 21%
15%15%
24%20%
16% 18%
6% 6% 5% 4%0%
20%
40%
60%
80%
2011 2014 2016 2019
Someone in HH Not Taken Prescribed Medication Due to Cost
Delayed/Did Not Seek Care Due to Cost
Unmet Medical Care in Household*
Unmet Dental Care in Household*
Unmet Mental Health Care in Household*
Kenosha County Community Health Survey
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*In 2011, 2014 and 2016, the question was asked of respondents only. In 2019, the question was asked about any household member.
Health Information Source
40%
47% 47%
51%
5%7%
11%7%
35%
25%29%
27%
2%2% 0% 4%
0%
20%
40%
60%
80%
100%
2011 2014 2016 2019
Doctor
Myself/Family Member in Health Care Field
Internet
Work
11Kenosha County Community Health Survey
Health Services
88%90%
74%69% 68% 69%
61%
5%
8%13% 15%
7% 6% 7%6% 7% 4% 4%
5% 5%1% 3%
34% 33% 34% 34% 36%
0%
20%
40%
60%
80%
100%
2008 2011 2014 2016 2019
Have Primary Care Physician
Doctor/Nurse Practitioner Office as
Primary Health Care Service
Urgent Care Center as Primary
Health Care Service
Hospital Emergency Room as
Primary Health Care Service
Quickcare Clinic as Primary Health
Care Service
Public Health Clinic/Community
Health Center as Primary Health
Care ServiceHospital Outpatient Department as
Primary Health Care Service
Advance Care Plan
12Kenosha County Community Health Survey
• Have Primary Care Physician
• WI 2018: 81%• US 2018: 77%• HP2020 Goal:
84%
Rate Own Health
• Excellent or Very Good Health
• WI 2018: 52%• US 2018: 51%
• Fair or Poor Health • WI 2018: 15%• US 2018: 17%
54%51% 50%
54%50%
15%19%
21%18% 20%
0%
20%
40%
60%
80%
100%
2008 2011 2014 2016 2019
Excellent or Very Good Health Fair or Poor Health
Kenosha County Community Health Survey 14
Routine Procedures
87%85%
80%
88%86%
72%76%
74% 75%77%
66%
57%61%
67%71%
47%
42%46%
43%
50%
0%
20%
40%
60%
80%
100%
2008 2011 2014 2016 2019
Routine Checkup (2 Years Ago or Less)
Cholesterol Test (4 Years Ago or Less)
Dental Checkup (Less Than 1 Year Ago)
Eye Exam (Less Than 1 Year Ago)
Kenosha County Community Health Survey
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• Routine Checkup 2 Years Ago or Less
• WI 2018: 87%• US 2018: 88%
• Cholesterol Test 4 Year Ago or Less
• WI 2017: 83%• US 2017: 86%• HP2020 Goal: 82%
• Dental Checkup Less Than 1 Year Ago
• WI 2018: 71%• US 2018: 68%• HP2020 Goal: 49%
Vaccinations
• Pneumonia Vaccination (65 and Older)
• WI 2018: 75%• US 2018: 74%• HP2020 Goal: 90%
• Flu Vaccination (18 and Older)
• HP2020 Goal: 70%
• Flu Vaccination (65 and Older)
• WI 2018: 46%• US 2018: 55%
73%
62%
68%
77%73%
37% 37%40%
44%41%
68%
62%
75%
63%
0%
20%
40%
60%
80%
100%
2008 2011 2014 2016 2019
Pneumonia Vaccination (Ever, 65+)
Flu Vaccination (Past Year, 18+)
Flu Vaccination (Past Year, 65+)
Kenosha County Community Health Survey
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Mobility
11%13%
17%
0%
20%
40%
60%
80%
100%
2014 2016 2019
Fallen and Injured Self at Home in Past Year (60 and Older)
Kenosha County Community Health Survey
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Treated For or Told Have Health Conditions in Past 3 Years (2019)
10%
9%
9%
21%
22%
28%
0% 20% 40% 60% 80% 100%
Asthma (Current)
Diabetes
Heart/Disease
Condition
High Blood Cholesterol
Mental Health
Condition
High Blood Pressure
Kenosha County Community Health Survey
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Treated For or Told Have Health Conditions in Past 3 Years
• Asthma (Current)• WI 2018: 9%• US 2018: 10%
27%28%
26%28%
18% 18%
25%18%
22%23%
23%20%
21%
12%8% 9%
6%
9% 12%8%
9%
13% 14% 15%13%
10%
0%
20%
40%
60%
80%
2008 2011 2014 2016 2019
High Blood Pressure Mental Health Condition High Blood Cholesterol
Heart Disease/Condition Diabetes Asthma (Current)
Kenosha County Community Health Survey
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Condition Controlled Through Medication, Exercise, Therapy or Lifestyle Changes
Kenosha County Community Health Survey
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2011201
42016 2019
High Blood Pressure 90% 91% 95% 96%
Mental Health Condition 83% 89% 86% 89%
High Blood Cholesterol 78% 90% 83% 83%
Heart Disease/Condition 90% 94% 84% 85%
Diabetes 92% 89% 94% 97%
Asthma (Current) 85% 91% 94% 93%
Body Weight
• At Least Overweight (BMI 25.0+)
• WI 2018: 67%• US 2018: 66%• HP2020 Goal: 66%
• Obese (BMI 30.0+)• WI 2018: 32%• US 2018: 31%• HP2020 Goal: 31%
64%69%
65%68% 67%
31%35% 33% 33%
36%
0%
20%
40%
60%
80%
100%
2008 2011 2014 2016 2019
At Least Overweight (BMI 25.0 or Higher)
Obese (BMI 30.0 or Higher)
Kenosha County Community Health Survey
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Physical Activity
• Moderate Physical Activity
• WI 2005: 42%• US 2005: 33%
• Vigorous Physical Activity
• WI 2009: 31%• US 2009: 29%
• Recommended Moderate or Vigorous Activity
• WI 2009: 53%• US 2009: 51%
34%
39% 40% 40%
24%
34%
29%31%
37%
44%48% 49% 49%
52%
0%
20%
40%
60%
80%
100%
2008 2011 2014 2016 2019
Moderate Activity (5x/30+Min/Week)
Vigorous Activity (3x/20+Min/Week)
Recommended Physical Activity (Mod or Vig)
Kenosha County Community Health Survey
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Nutrition and Food Insecurity
• Fruit or Vegetables (5+ Servings/Day)
• WI 2009: 23%• US 2009: 23%
59%56%
58%
65%
51%
26%29% 29%
26%29%
32% 32%35%
38%
31%
6%
22%
7%
0%
20%
40%
60%
80%
100%
2008 2011 2014 2016 2019
Fruit (At Least Two Servings/Day)
Vegetables (At Least Three Servings/Day)
Fruit/Vegetables (At Least Five Servings/Day)
Find Fresh Fruit and Vegetables in Community/Neighborhood Sometimes/Seldom/Never
Affordable Fresh Fruit and Vegetables Sometimes/Seldom/Never
Household Went Hungry Because They Couldn't Afford Enough Food (Past Year)
Kenosha County Community Health Survey
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Women’s Health Tests
• Mammogram in Past 2 Years (50 – 74 years old)
• WI 2018: 78%• US 2018: 78%
• Pap Smear in Past 3 Years (18 and Older)
• WI 2018: 81%• US 2018: 80%
76%
81%
76% 76% 75%71%
74%
80%
91%
82%
90%
80%
82% 87% 85%
54%50%
62%
85% 89%86%
0%
20%
40%
60%
80%
100%
2008 2011 2014 2016 2019
Mammogram - Within Past 2 Yrs. (50 and Older)
Bone Density Scan - Ever (65 and Older)
Pap Smear - Within Past 3 Yrs. (18 to 65 Yrs. Old and With a Cervix)
HPV Test - Within Past 5 Yrs. (18 to 65 Yrs. Old and With a Cervix)
Met Cervical Cancer Screening Recommendation*
Kenosha County Community Health Survey
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*Recommended time frame: pap smear every 3 years for ages 18 to 29 years old; pap smear and HPV test every 5 years or pap smear only every 3 years for ages 30 to 65 years old.
Colorectal Cancer Screenings(50 and Older)
• Blood Stool Test in Past Year (50-75 Years Old)
• WI 2018: 7%• US 2018: 9%
• Sigmoidoscopy in Past 5 Years (50-75 Years Old)
• WI 2018: 3%• US 2018: 2%
• Colonoscopy in Past 10 Years (50-75 Years Old)
• WI 2018: 71%• US 2018: 64%
• Screening in Recommended Time Frame (50-75 Years Old)
• WI 2018: 75%• US 2018: 70%• HP2020 Goal: 71%
67%65%
69%
80% 79%
64%58%
66%
75% 74%
13% 11% 9% 10% 8%
14% 15%19%
16%
0%
20%
40%
60%
80%
100%
2008 2011 2014 2016 2019
At Least One Test Within Recommended Time Frame*
Colonoscopy (Within Past 10 Years)
Sigmoidoscopy (Within Past 5 Years)
Blood Stool Test (Past Year)
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*In 2008, blood stool test was not asked.
Personal Safety Issues in Past Year
5%4%
4% 5%
2% 3%
5%
2% 4%
5%7% 8%
5%8%
0%
20%
40%
60%
80%
2008 2011 2014 2016 2019
Someone Made You Afraid for Your Personal Safety
Someone Pushed, Kicked, Slapped or Hit You
At Least 1 of the 2 Issues
Kenosha County Community Health Survey
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Current Tobacco Cigarette Smokers or Current Electronic Vapers
• Current Smokers • WI 2018: 17%• US 2018: 16%• HP2020 Goal: 12%
• Current Vapers • WI 2017: 5%• US 2018: 4%
26% 24%28%
23%19%
9%
2%13%
0%
20%
40%
60%
80%
100%
2008 2011 2014 2016 2019
Current Smoker Current Vaper
Kenosha County Community Health Survey
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Smoking or Vaping Cessation in Past Year(Current Tobacco Smokers or Electronic Vapor Product Users)
• Tried to Quit (Smokers Only)• WI 2005: 49%• US 2005: 56%• HP2020 Goal: 80% 72%
91%
64%
82%77%
49%
60%55% 55%
65%
0%
20%
40%
60%
80%
100%
2008 2011 2014 2016 2019
Health Care Professional Advised Respondent to Quit*
Quit Smoking or Vaping for At Least 1 Day*
Kenosha County Community Health Survey 32
*In 2019, tobacco cessation and health professional advised quitting included current smokers and current vapers. In previous years, both questions were asked of current smokers only.
Nonsmokers/Nonvapers Exposed to Second-Hand Smoke or Vapor in Past Seven Days*
• Nonsmokers Exposed to Second-Hand Smoke
• HP2020 Goal: 34%
28%21% 21%
17% 14%
0%
20%
40%
60%
80%
100%
2008 2011 2014 2016 2019
Kenosha County Community Health Survey
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*In 2019, the question included nonvapers being exposed to vapors. In all other years, the question was asked of nonsmoking respondents only.
Other Tobacco Product Use in Past Month
• Smokeless Tobacco• WI 2018: 4%• US 2018: 4%• HP2020 Goal: 0.2%
5%3%
8%7%
<1% 3%0%
20%
40%
60%
80%
100%
2014 2016 2019
Smokeless Tobacco Cigars, Cigarillos or Little Cigars
Kenosha County Community Health Survey
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Alcohol Use in Past Month
• Binge Drinker (Female 4+ Drinks; Male 5+ Drinks on an Occasion)
• WI 2018: 26%• US 2018: 16%• HP2020 Goal (5+
Drinks): 24%
23%28%
32% 30%33%
3% 2%6%
2% 2%
0%
20%
40%
60%
80%
100%
2008 2011 2014 2016 2019
Binge Drinking*
Driver/Passenger When Driver Perhaps Had Too Much to Drink
Kenosha County Community Health Survey
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*In 2011, 2014, 2016 and 2019, “4 or more drinks on an occasion” for females and “5 or more drinks on an occasion” for males was used; in 2008, “5 or more drinks on an occasion” was used for both males and females.
Household Problems in Past Year
Kenosha County Community Health Survey
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2%3%
2%
5%3%
2% 2% 1%<1%0%
20%
40%
60%
2008 2011 2014 2016 2019
Alcohol Marijuana
Cocaine, Meth or Other Street Drugs Heroin or Other Opioids
Mental Health Status
7%8%
6%5%7%
8% 8%
4% 5%
8%
5%0%
20%
40%
60%
80%
2008 2011 2014 2016 2019
Felt Sad, Blue, Depressed Always/Nearly Always (Past Month)
Find Meaning & Purpose in Daily Life Seldom/Never
Considered Suicide (Past Year)
Kenosha County Community Health Survey
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Child’s Primary Doctor/Nurse[Child 17 or Younger]
89% 89%
98%95%95%
91%
85%91%
0%
20%
40%
60%
80%
100%
2011 2014 2016 2019
Child Has Primary Doctor/Nurse
Preventive Care with Child's Primary Doctor in Past
Year (Children who have a Primary Doctor/Nurse)
Kenosha County Community Health Survey
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Child’s Unmet Care in Past Year[Child 17 or Younger]
Kenosha County Community Health Survey
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5% 4%
6% 6% 7%
<1%2% 2% 4%1%
0%
20%
40%
60%
80%
2011 2014 2016 2019
Unmet Medical Care Unmet Dental Care Unmet Specialist Care
Child Currently Has Asthma[Child 17 or Younger]
7%
14%
21%
4%
0%
20%
40%
60%
80%
100%
2011 2014 2016 2019
Kenosha County Community Health Survey
44
Child is Seldom/Never Safe in Community/Neighborhood[17 or Younger]
Kenosha County Community Health Survey
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2% 2% 0%4%
0%
20%
40%
60%
80%
100%
2011 2014 2016 2019
Childs’ Nutrition[Child 5 to 17 Years Old]
76%
66%
72%74%
41%
19%
25%27%
45% 46%
31%35%
0%
20%
40%
60%
80%
100%
2011 2014 2016 2019
Fruit (Two or More Servings/Day)
Vegetable (Three or More Servings/Day)
Fruit or Vegetable (Five or More Servings/Day)
Kenosha County Community Health Survey 46
Child’s Physical Activity (60 Min./5x/Week)[Child 5 to 17 Years Old]
64% 67%
47%
74%
0%
20%
40%
60%
80%
100%
2011 2014 2016 2019
Kenosha County Community Health Survey
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Child’s Emotional Well-Being[Child 5 to 17 Years Old]*
1%
9% 8%5%
0%
20%
40%
60%
80%
100%
2011 2014 2016 2019
Unhappy, Sad or Depressed Always/Nearly Always (Past 6 Months)
Kenosha County Community Health Survey
48
*In 2011, 2014 and 2016, the question was asked for children 8 to 17 years old.
Child Experienced Bullying in Past Year[5 to 17 Years Old]
32%
24%19%
15%
29%
12%7%3%
9%
6%1% 0%
2%0%
20%
40%
60%
80%
100%
2011 2014 2016 2019
Bullied Overall Verbally Bullied Physically Bullied Cyber Bullied
Kenosha County Community Health Survey
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*In 2011, 2014 and 2016, the question was asked for children 8 to 17 years old.
Top County Health IssuesUp to Three Accepted [Part 1]
Kenosha County Community Health Survey 51
27%
42%
23%23%
18% 18%
15%15%17%14%
6%
13%9% 12%
0%
20%
40%
60%
80%
2016 2019
Illegal Drug Use Access to Health Care Overweight or Obesity
Chronic Diseases Alcohol Use or Abuse Tobacco Use
Cancer
Top County Health IssuesUp to Three Accepted [Part 2]
Kenosha County Community Health Survey
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7%
11%10%8% 10%
8%6% 6%
5% 5%0%
20%
40%
60%
80%
2016 2019
Prescription or Over-the-Counter Drug Abuse Mental Health or Depression
Violence or Crime Affordable Health Care
Infectious Diseases Environmental Issues
Select Key Findings of Need
• 11% Household Member Not Covered by Insurance in Past Year
• 21% Delayed/Did Not Seek Care Due to Cost
• 11% Household Member Not Take Prescription Medication Due to Cost in Past Year vs. 3% HP2020
• 18% Unmet Dental Care vs 5% HP2020
• 41% Flu Vaccination (18 and older) in Past Year vs. 70% HP2020
• 28% High Blood Pressure in Past 3 Years
• 22% Sometimes/Seldom/Never Find Affordable Fresh Fruit and Vegetables
• 33% Binged in Past Month (4+ drinks females; 5+ drinks males)
• 19% Current Smoker vs. 12% HP2020
• 8% Smokeless Tobacco Use in Past Month vs. 0.2% HP2020
• 8% Considered Suicide in Past Year
• 15% Children 5 to 17 Years Old Bullied Overall in Past Year
• 12% Children 5 to 17 Years Old Verbally Bullied in Past Year
• Top County Health Issues (Up to 3 Accepted): 42% Illegal Drug Use, 23% Access to Health Care, 18% Overweight/Obesity
53Kenosha County Community Health Survey