WALWORTH COUNTY
COMMUNITY HEALTH SURVEY
– January 2012
Aurora Health Care
Walworth County Health Department
Center for Urban Population Health
Overview
•
Objectives
• Gather data on behavioral and lifestyle habits of the
adult population and household-level data.
• 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.
Methodology
•
•
•
•
•
18 minute telephone survey of area residents
400 completions from November 7, 2011 through November 28, 2011
Two-fold sampling
• 1) RDD landline sample of listed & unlisted #s (n=300)
• 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=100)
• 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%
Demographics
Respondent Demographics
Percent
Gender
Male
50%
Female
50%
Household Income
Bottom 40 Percent Bracket
41%
Middle 20 Percent Bracket
14%
Top 40 Percent Bracket
30%
Not sure/No answer
15%
Respondent Demographics
(cont.)
Age
Percent
18 to 34
30%
35 to 44
16%
45 to 54
20%
55 to 64
16%
65 and older
17%
Respondent Demographics
(cont.)
Percent
Education
High school or less
33%
Some post high school
40%
College graduate
27%
Marital Status
Married
49%
Health Care Coverage
Health Care Coverage
•
•
Personally not covered
currently (18+) 2010
• WI: 11%
• US: 15%
Personally not covered
currently (18 to 64 years
old) 2010
• WI: 13%
• US: 18%
• HP2020 Goal: 0%
40%
20%
21%
20%
16%
11%
12%
14%
11%
9%
10%
10%
2005
2009
0%
2003
17%
15%
10%
8%
2011
Someone in HH not
covered in past 12
months
Personally not
currently covered (all
respondents)
Personally not
currently covered (18
to 64 years old)
Personally not
covered in past 12
months
Doctor or Nurse Practitioner’s Office
as Primary Health Care Service
100%
82%
80%
73%
79%
60%
40%
20%
0%
2005
2009
2011
Advance Care Plan1
100%
80%
60%
40%
34%
35%
33%
31%
2005
2009
2011
20%
0%
2003
1“living
will or health care power of attorney” added in 2005
General Health
Rate Own Health
2010
• Excellent or Very
Good
• WI: 57%
• US: 55%
•
Fair or Poor
• WI: 14%
• US: 15%
100%
Excellent/Very Good
Fair/Poor
80%
59%
58%
61%
60%
48%
40%
16%
15%
20%
8%
8%
0%
2003
2005
2009
2011
Routine Procedures
•
•
Routine checkup 2000
• WI: 79%
• US: 84%
Cholesterol test 2010
• WI: 77%
• US: 77%
• HP2020 Goal: 82%
100%
8 1%
80%
82%
74%
69%
60%
65%
Dental checkup 2010
• WI: 75%
• US: 70%
• HP2020 Goal: 49%
40%
46%
82%
7 1%
65%
64%
49%
•
82%
48%
59%
50%
Routine checkup (2
yrs. ago or less)
Cholesterol test (4
yrs. ago or less)
Dental checkup (less
than 1 yr. ago)
Eye exam (less than
1 yr. ago)
20%
2003
2005
2009
2011
Vaccinations
•
•
•
Pneumonia vaccination
(65+) 2010
• WI: 73%
• US: 69%
• HP2020 Goal: 90%
100%
80%
69%
64%
Flu vaccination (18+) 2005
• WI: 32%
• US: 27%
• HP2020 Goal: 90%
68%
60%
60%
64%
52%
40%
Flu vaccination (65+) 2010
• WI: 68%
• US: 68%
• HP2020 Goal: 90%
20%
43%
30%
30%
34%
Pneumonia
Vaccination (Ever,
65+)
Flu Vaccination (Past
Year, 18+)*,**
Flu Vaccination (Past
Year, 65+)*,**
19%
0%
2003
*In
2005
2009
2011
2005, “nasal spray” was added.
**For a time in the 2004/2005 flu season there was a limited supply of flu
vaccinations. During that period, it was only offered to persons in high-risk
categories.
Health Conditions Past 3 Years (2011)
29%
High Blood Pressure
20%
High Blood Cholesterol
19%
Mental Health Condition
7%
Diabetes
6%
Heart Disease/Condition
6%
Asthma (Current)
4%
Cancer
1%
Stroke
0%
10%
20%
30%
40%
50%
Health Conditions Past 3 Years
50%
40%
High Blood Pressure
29%
30%
24%
20%
10%
24%
19%
15%
15%
20%
High Blood Cholesterol
19%
Mental Health Condition
13%
10%
4%
0%
2003
7%
5%
7%
Diabetes
2005
2009
2011
Health Conditions Past 3 Years
30%
Heart Disease/Condition
20%
Asthma (Current)
10%
10%
8%
7%
6%
5%
7%
2%
<1%
0%
2003
6%
2%
Cancer
4%
1%
Stroke
2005
2009
2011
Alternative Treatments
Received Alternative Treatments Past 3 Years (2011)
Chiropractic Care
23%
Massage Therapy
17%
Aroma Therapy
7%
Acupuncture
2%
0%
20%
40%
60%
80%
100%
Received Alternative
Treatments Past 3 Years
50%
Chiropractic Care
Massage T herapy
40%
Aroma T herapy*
Acupuncture
30%
23%
22%
23%
19 %
20%
17 %
18 %
16 %
11%
10%
7%
4%
0% 3 %
2003
7%
2%
3%
2005
*In 2009, “using essential oils” was added to aroma therapy.
2009
2%
2011
Exercise and Nutrition
Body Weight
•
Overweight 2010
• WI: 64%
• US: 64%
• HP2020 Goal: 66%
(overweight or obese)
100%
80%
61%
60%
53%
65%
54%
40%
20%
0%
2003
2005
2009
2011
Physical Activity1
•
•
•
Recommended Moderate
or Vigorous Activity 2009
• WI: 53%
• US: 51%
Moderate Activity 2005
• WI: 42%
• US: 33%
Vigorous Activity 2009
• WI: 31%
• US: 29%
100%
Recommended
Mod or Vig
Activity
80%
60%
40% 3 1%
33%
48%
32%
42%
28%
20%
0%
2003
1Moderate
45%
2005
2009
24%
Moderate
Activity
Vigorous
Activity
2011
activity: 5 times a week for 30 or more minutes/time
Vigorous activity: 3 times a week for 20 or more minutes/time
Nutrition on an Average Day
100%
80%
69%
60%
58%
59%
Fruit Intake (T wo or
more servings)
28%
Vegetable Intake
(T hree or more
servings)
60%
40%
36%
21%
24%
2005
2009
20%
0%
2003
2011
Early Detection and
Prevention of Cancer
Women’s Health
•
Pap Smear (18+) 2010
• WI: 85%
• US: 81%
• HP2020 Goal (21+): 93%
100%
80%
90%
Mammogram (40+) 2010
• WI: 79%
• US: 76%
81%
78%
60%
•
85%
71%
74%
73%
83%
77%
74%
62%
Mammogram within past 2 yrs.
(40 and older)
40%
20%
0%
2003
Pap Smear - within
past 3 yrs. (18 to
65 yrs. old)
Bone Density Scan
(65 and older)
2005
2009
2011
Men’s Health
(40 and Older)
•
PSA Test (40+) 2010
• WI: 51%
• US: 53%
P SA Test - within past
2 years
100%
Digital Rectal Exam within past year
80%
54%
60%
46%
42%
40%
36%
20%
0%
2003
36%
26%
2005
26%
2009
2011
Colorectal Cancer
(50 and Older)
•
Sigmoidoscopy/
Colonoscopy in Lifetime
(50+) 2010
• WI: 69%
• US: 65%
Sigmoidoscopy
or Colonoscopy
(ever)
100%
80%
58%
60%
55%
69%
68%
65%
65%
Colonoscopy
(within past 10
yrs.)
40%
20%
7%
0%
2003
Sigmoidoscopy
(within past 5
yrs.)
2005
2009
9%
2011
Safety
Always/Nearly Always Wore
a Seat Belt or Helmet
•
Adult Seat Belt Usage 2002
• WI: 82%
• US: 88%
• HP2020 Goal: 92%
(observation)
100%
86%
89%
85%
89%
80%
60%
Seat Belt
Helmet
40%
32%
29%
27%
2005
2009
2011
21%
20%
0%
2003
Detectors in Household (2011)
Smoke Detector
97%
Carbon Monoxide
Detector
71%
Households That Have…
Both Detectors
70%
Neither Detector
2%
0%
20%
40%
60%
80%
100%
Both Working Smoke and Carbon
Monoxide Detectors in Household
100%
80%
60%
70%
53%
55%
56%
2005
2009
40%
20%
0%
2003
2011
Firearm Ownership and Storage Practices
(All Households)
•
•
•
Firearm in HH 2002
• WI: 44%
• US: 33%
Loaded Firearm 2002
• WI: 3%
• US: 8%
60%
Firearm in
Household
Loaded Firearm
37%
40%
Loaded Firearm also Unlocked
2002
• WI: 2%
• US: 4%
29%
29%
30%
33%
26%
20%
•
Loaded Firearm also Unlocked
of HH with Firearms 2002
• WI: 5%
• US: 13%
• Walworth County: 10%
(2011)
Loaded and
Unlocked Firearm
16%
Handgun
11%
3%
0%
2%
2003
2%
Rifle or Shotgun
1%
1%
2005
4%
2%
2009
2011
--Type of firearm not asked in 2003 and 2005
Personal Safety Issues
(Past Year)
40%
Someone made you afraid
for your personal safety
30%
Someone pushed, kicked,
slapped or hit you
20%
At least 1 of the 2 issues
10%
8%
10%
5%
1%
0%
2003
8%
6%
3%
2005
5%
5%
2009
2011
Cigarette Use
Current Smokers
•
Current Smokers 2010
• WI: 19%
• US: 17%
• HP2020 Goal: 12%
100%
80%
60%
40%
25%
25%
23%
2005
2009
27%
20%
0%
2003
2011
Current Smokers
•
Tried to Quit 2005
• WI: 49%
• US: 56%
• HP2020 Goal: 80%
100%
80%
70%
75%
66%
58%
60%
Health Care
Professional Advised
Respondent to Quit
49%
43%
42%
Quit Smoking for 1
Day or Longer
40%
20%
0%
2003
2005
2009
2011
Smoking Policies
Smoking Policy Inside
Home and at Work (2011)
Smoking Prohibited at Home 2003
• WI: 75%
Smoke-free Policy at Indoor Worksite 2003
• WI: 75%
• HP2020 Goal: 100%
Home
Work
80%
82%
Allowed in some places or at some times
9%
11%
Allowed anywhere
2%
<1%
No rules about smoking
9%
5%
Not sure
0%
1%
Not allowed anywhere
Smoking Policy Inside
Home and at Work
100%
82%
80%
77%
80%
60%
Smoking Not
Allowed at Home
40%
Smoking Not
Allowed at Work
20%
0%
2009
2011
Exposure to Second-Hand Smoke in
Past 7 Days (Nonsmokers) (2011)
Percent
Nonsmokers Exposed to SecondHand Smoke
• HP2020 Goal: 34%
Zero days
82%
One to three days
13%
Four to seven days
5%
Exposure to Second-Hand Smoke
in Past 7 Days (Nonsmokers)
100%
80%
60%
40%
20%
6%
0%
2009
5%
2011
Alcohol Use
Heavy and Binge
Drinking in Past Month
•
•
Binge Drinking 2010
• WI: 22%
• US: 15%
• HP2020 Goal: 24%
Heavy Drinking 2010
• WI: 6%
• US: 5%
60%
Binge
Drinking*
Heavy
Drinking**
40%
20%
23%
24%
23%
8%
8%
9%
2005
2009
2011
15%
7%
0%
2003
*In 2003, “4 or more drinks” for females and “5 or more” for males was used;
in all other years, “5 or more drinks” was used for both males and females.
**Heavy drinking is defined as 61 or more drinks for males and 31 or more
drinks for females.
Alcohol Related Issues
60%
Driven or ridden when
driver had too much to
drink (past month)
40%
Household problem
associated with alcohol
(past year)
20%
7%
2%
0%
2003
3%
2005
6%
4%
2009
6%
4%
2011
Mental Health Status
Mental Health Status
Felt sad, blue or
depressed always/nearly
always (past 30 days)
30%
20%
Considered suicide (past
year)
10%
Find meaning &
purpose in daily life
seldom/never
9%
7%
5%
4%
2%
0%
2003
4%
4%
2%
2005
7%
5%
3%
2009
2011
Additional Health Department
Questions
Did Not Receive Medical Care, Dental Care
or Mental Health Care Needed in Past Year
Percent
Medical Care
7%
Dental Care
5%
Mental Health Care
4%
Community Environmental Issues
(Major/Moderate)
30%
Safe Drinking
Water
20%
Clean Drinking and
Recreational Water
10%
10%
9%
7%
0%
2009
10%
8%
7%
2011
Food Safety in
Stores and
Restaurants
Select Key Findings of
Need
•
•
•
•
•
•
•
•
•
•
10% not covered by some form of health care coverage (currently,
18 – 64 y.o.) vs. 0% HP2020
71% cholesterol test (4 yrs. ago or less) vs. 82% HP2020
68% pneumonia vaccination (Ever, 65+) vs. 90% HP2020
64% flu shot (past year, 65+) vs. 90% HP2020
34% flu shot (past year, 18+) vs. 90% HP2020
83% pap smear (past 3 years, 18 – 65 y.o.) vs. 93% HP2020
27% adult helmet usage
27% current smokers vs. 12% HP2020
58% tried to quit smoking past year vs. 80% HP2020
82% smoke-free policy at indoor worksite vs. 100% HP2020
Report Available at…
www.aurora.org/commhealth
• www.co.walworth.wi.us
•
Next Steps