Hillsdale Hospital Community Health Needs Assessment Survey 2016
Respondents • 1110 people responded to the HC survey compared to 983 in 2013. • Not all respondents answered every question. • 95 said they were not Hillsdale residents. The remaining respondents represent about 2.2% of the county population based on 2014 Census estimates. • Thanks to all who planned and promoted this survey and those who entered data. Their help was invaluable.
Profile of the 1110 Respondents to the 2016 Survey
Respondents by Sex Compared to Hillsdale 2014 Population Estimates 80% 69% 70% 60% 49.90% 50.10% 50% 40% 31% 30% 20% 10% 0% Male Female Survey Population Estimate 2014
Residents of Hillsdale County 80.4% 90% 80% 70% 60% 50% 40% 30% 11.0% 8.6% 20% 10% 0% Yes No Unknown
Age Breakdown of Respondents 234 250 184 200 139 135 135 150 124 122 100 50 27 0 18-20 21-30 31-40 41-50 51-60 61-64 65-75 75+
Respondents by Age Compared to 2014 County Census Estimates 80.0% 67.5% 70.0% 60.0% 60.0% 50.0% 40.0% 32.5% 30.0% 22.3% 17.7% 20.0% 10.0% 0.0% 0.0% Under 18 18-64 65+ Respondents Census
Respondents by Race & Ethnic Origin Compared to the 2014 County Census 99.0% 98.4% 98.3% 98.0% 97.1% 97.0% 96.0% Respondents 95.2% Census 2014 95.0% 94.0% 93.0% White Non-Hispanic
Respondent Employment Status 2016 & 2013 400 367 350 292 300 250 200 150 110 89 88 100 65 50 50 17 16 0 2016 2013
Another Look at Employment 2016 16 Employed Full Employed Part 292 367 Self Employed Homemaker 88 Unemployed Seeking 65 89 Unemployed 110 50 Disabled Retired 17 Students
Jobless Rate Hillsdale County Compared to Michigan 18.0% 16.9% 16.0% 14.4% 14.0% 12.0% 13.4% 10.3% 11.0% 12.7% 9.3% 9.1% 10.0% 8.6% 10.3% 8.3% 9.1% 8.0% 7.0% 8.9% 7.1% 5.3% 7.3% 6.0% 5.4% 4.0% 2007 2008 2009 2010 2011 2012 2013 2014 2015 Hillsdale Michigan
Respondents Marital Status, 2016 800 671 700 600 500 400 300 200 125 114 75 54 49 100 22 0
Respondents Living Situations 2016 & 2013 900 785 800 660 700 600 500 2016 400 2013 300 216 192 200 80 78 100 7 1 0 Own Home Renting Stays with Others Homeless
Percent of Respondents Living in Own Home Compared to Hillsdale County & Michigan 2014 Census Data 80% 77.80% 78% 76% 74.20% 74% 71.50% 72% 70% 68% Respondents Hillsdale Michigan
Why are 80 Respondents Living with Others? • May be students: 16 were in school. • May be living with significant other: 49 were in this category • May be some an elderly person living with family members or a caregiver living with the person for whom they care. • Other possible reasons: living with parents or?
Respondents with Children at Home • Yes: 363 or 34.8% • No: 681 or 65.2%
Number of Children at Home 2016 & 2013 160 138 138 137 140 124 120 100 80 62 59 60 40 28 23 12 20 11 0 One Two Three Four More than 4 2016 2013
Respondents Highest Education Level 2016 & 2013 400 374 350 313 300 251 250 224 200 132 150 120 99 84 81 80 78 76 100 62 52 35 32 50 0 2016 2013
Education Level, Another Look, 2016 < HS College + 7% 20% Associate HS Degree 36% 8% Some College/Trade 24% Trade School 5%
Respondents’ Education, 2016 • Only 7.5% of respondents to the survey had less than a high school diploma. • But 12.7% of the county residents age 25 or less did not have a high school diploma, 2010- 2014, per the U.S. census data estimates for 2014.
Graduation Rates of Hillsdale Residents Compared to Michigan, 2013-14 • 81.8% Hillsdale • 78.6% Michigan
Some Conclusions • 69% of our survey respondents were female compared to 50.1% in the general population. • 32% of our survey respondents were age 65 or over, compared to 17.7% in the general population. • Our respondents were better educated than the general population.
Behavior Characteristics of Survey Respondents
How Respondents Define Their Weight, 2016 & 2013 600 518 469 500 383 370 400 300 200 78 72 100 34 30 0 Underweight Average Overweight Obese 2016 2013
Another Way to Look at Weight, Respondents 2016 3.4% 7.7% 37.8% Underweight Average 51.1% Overweight Obese
Weight Reported by Branch-Hillsdale- St. Joseph Residents, Michigan BRFS, 2012-14 Healthy Weight Obese 24% 37% Overweight 39%
Respondents Concern about their Weight, 2016 When asked if a respondent was concerned about their weight: • 51.2% said they were. • 48.8% said they were not.
Respondents who Smoke, 2016 • Smoke: Yes 205 or 19.8% 20% • Don’t Smoke 831 or 80.2% No 80% 24.5% of Branch-Hillsdale-St. Joseph County adult residents said they smoked on the Michigan Behavioral Risk Factor Surveys, 2012- 14, compared to 22% in Michigan. 27.2% were former smokers.
Smoking Trends, Respondents 2016 & 2013 Compared to MI BRFS 2012-14 30% 25% 25% 22% 21% 20% 20% 15% 10% 5% 0% 2016 2013 BHSJ MI
Mothers who Smoke, Michigan Birth Data, 2012-13 and 2008-10 Averages 35.0% 31.7% 30.5% 30.0% 25.0% 20.6% 19.6% 20.0% 15.0% 10.0% 5.0% 0.0% Hillsdale Michigan 2011-13 2008-10
Respondents Who Drink Alcohol 2016 & 2013 350 312 300 251 250 200 150 100 48 48 50 13 11 0 Drink More than 1/day More than 3/day 2016 2013
Respondents Who Reported Binge Drinking (5 or more drinks) in the Past Month on the MI BRFS, 2012-2014 Average • 15.7% Branch-Hillsdale-St. Joseph County Residents • 19.0% Michigan
Respondents’ Use of Specific Drugs 2016 & 2013 50 44 45 40 35 30 25 19 20 15 10 6 4 5 2 2 0 Marijuana Cocaine Any Illegal 2016 2013
Respondents’ Concerns about Drug Abuse Issues, 2016 600 506 500 438 424 400 351 345 295 300 Very 216 Moderately 201 191 200 Not at All 100 0 Misuse prescriptions Substance Abuse Substance Abuse Young Adults
Medical Care Issues
Respondents with Health Insurance 2016 & 2013 32 No 138 1070 Yes 835 0 200 400 600 800 1000 1200 2016 2013
Medical Insurance by Type, 2016 36% 34.10% Employer Private Gov. subsidized Medicaid 20.60% BHSJ 0.40% Medicare 3.30% 6.26%
Source of Insurance, Respondents CHNA Surveys, 2016 and 2013 45% 40.8% 40% 35.5% 34.0% 32.7% 35% 30% 21.4% 25% 20.6% 20% 15% 10% 6.3% 3.7% 3.3% 5% 1.4% 0.4% 0.0% 0% 2016 2013
Affordable Care Act and Medicaid Expansion in Michigan • Medicaid expansion was approved December 30, 2103 in Michigan and was implemented beginning April, 2014. • This was expected to cause an increase in number of Medicaid users in Hillsdale County. • But the percentage of respondents on the 2016 survey with Medicaid was 20.6% and is comparable to the 21.4% in 2013. • The consequence of the Affordable Care Act on the CHNA respondents seems to be a decrease in employer coverage and movement to private pay with a government subsidy.
Respondents on Medicare with Supplemental Plans 2016 & 2013 90% 82% 81% 80% 70% 60% 50% 40% 30% 19% 18% 20% 10% 0% Medicare Only Medicare Supplements 2016 2013
Respondents with Prescription or Dental Insurance, 2016 & 2013 100.00% 89.70% 88.80% 90.00% 80.00% 70.00% 58.20% 57.30% 60.00% 50.00% 40.00% 30.00% 20.00% 10.00% 0.00% Prescription Dental 2016 2013
Respondents Reporting No Health Insurance, Ages 18-64, Behavior Risk Factor Survey, 2012-14 MI: 15.6% Branch-Hillsdale-St. Joseph: 18.1% Our survey: 3.2%
Respondents with no Health Insurance, 2016 32 people said they had no health insurance. • Analysis of these individuals revealed: – Five actually had Medicare – One was on Medicaid – Two had a private or employer plan • Based on the above facts, only 24 people had with no evidence of insurance and were more likely to be female (19) than male (5) .
Uninsured Respondent Profile, 2016 9 8 8 7 6 5 4 4 3 3 3 2 1 1 1 1 1 1 1 0 0 0 18-20 21-30 31-40 41-50 51-60 61-65 Female Male
Respondents with Physicians, 2016 1200 1008 1000 800 600 400 200 81 0 Yes No
Respondents with Physicians, 2016 No • Yes: 1008 or 92.6% 7% • No: 81 or 7.4% Yes 93% 21.2% of Branch-Hillsdale-St. Joseph residents reported on the Michigan BRFS they had no personal physician, 2012-2014 average, compared to 16.3% of all Michigan residents
Respondents with Physicians, 2016 & 2013 100% 93% 85% 90% 76% 80% 67% 70% 60% 50% 40% 30% 16% 20% 13% 10% 2% 1% 0% Have Physician In Hillsdale Outside Hillsdale Unknown 2016 2013
Location of Respondents’ Physicians 1000 900 42 800 700 600 500 847 400 300 200 45 100 100 0 In Hillsdale Outside Hillsdale Hillsdale Resident Non-Resident
Frequency Respondents Visit Their Regular Doctors Each Year, 2016 400 341 350 294 300 250 226 200 150 97 100 33 50 0 Once Twice Four Times Monthly More than Montly
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