Community Health Assessment - 2018 Presented by: Tracy Metcalfe - PowerPoint PPT Presentation

Community Health Assessment - 2018 Presented by: Tracy Metcalfe Community Health Educator/Health Analyst Bay County Health Department Funding provided by the Bay Area Community Foundation

Bay County Population 2% decline in Bay County Total Population Trend 2006-2016 population in 3 years 110,000 (2013 – 2016) 109,000 108,000 107,000 106,000 105,000 104,000 103,000 102,000 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Bay County Population by Age Bay County Population by Age Group 2013 2016 18,000 16,000 14,000 12,000 10,000 8,000 6,000 4,000 2,000 0 18-24 25-34 35-44 45-54 55-64 65-74 75-84 85+

Bay County Population Percent Population Change Between 2013-2016 by Age Group 15% 10% 10% 5% 5% 3% 2% 1% 1% 0% 18-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ -5% -10% -9% -10% -15%

Bay County Population by Race Percent Population Change Between 2013-2016 by Race 10% 8% 8% 6% 5% 4% 4% 3% 2% 0% Caucasian African American Native American and Asian Hispanic Origin Alaskan Indian -2% -2% -4%

Poverty in Bay County Percent of People Below Poverty Level 45% 2013 2016 Households Receiving Benefits in 40% 25% Bay County 2013 and 2016 40% 38% 2013 2016 35% 20% 30% 27% 27% 25% 15% 20% 17% 16% 15% 10% 10% 7% 6% 4% 3% 5% 5% 0% With Social With With With Cash With Food 0% Security Retirement Supplemental Public Stamps/SNAP All People Under 18 Over 18 Income Security Assistance Benefits Income

Poverty in Bay County Percent of Families Below Poverty Level Percent of Families Below Poverty Level 40% 70% 2013 2016 35% 60% 30% 50% 25% 40% 2013 20% 30% 2016 15% 20% 10% 10% 5% 0% 0% All Families Married Female Couple Householder Families (No Husband Present)

Maternal and Child Health Live Births - Bay County 2012-2016 1,070 1,063 1,057 1,060 1,050 1,043 1,040 1,034 3.5% Increase 1,030 1,027 1,020 1,010 1,000 2012 2013 2014 2015 2016

Teen Pregnancy Trends Teen Pregnancy (15-19) Trends - Bay County - 2012-2016 140 120 100 80 60 40 20 0 2012 2013 2014 2015 2016

Maternal Characteristics - 2016 Maternal Characteristics as a Percentage of Live Births - Bay County 90% 78% 80% 70% 60% 53% 50% 45% 40% 34% 32% 30% 27% 25% 20% 10% 0% Overweight Obese WIC Food During Breastfeeding Unmarried Mother Smoked Household Smokig Pregnancy Planned or Intiated During Pregnancy

Low Birth Weight and Infant Mortality Trends in Low Birth Weight Babies in Bay County 10% Bay County experienced a 8% slight increase in low 6% birthweight babies from 4% 2016-2017 2% 0% 2012 2013 2014 2015 2016 2017 Infant Mortality Trends in Bay County 2012-2017 12 In 2016, Bay County 10 only had 1 infant 8 death. That number 6 jumped to 6 in 2017 4 2 0 2012 2013 2014 2015 2016 2017

Child Abuse and Neglect Number of Child Abuse and Neglect Cases (0-17) in Bay County 3,818 3,706 3,500 3,000 2,709 2013 2,500 2016 2017 2,000 1,500 1,000 556 466 366 500 111 105 113 0 Children in Investigated Families Confirmed Victims Children in Out-of-Home Care

Percent Children with Insurance Received Each of their Recommended Well Child/Preventive Medical Visits 120% 90% 82% 80% 64% 70% 60% 50% 100% 96% 50% 40% 30% 20% 10% 80% 0% Medicaid Enrolled Infants Medicaid Enrolled Medicaid Enrolled at 15 months Children aged 3-6 Adolescents aged 12-17 60% 41% 40% 20% 2% 0% Percent of Children Insured Medicaid MiChild

General Health Health of Bay County Residents Fair or Poor Health Poor Mental Health Poor Physical Health 20% 18% 16% 14% 12% 10% 8% 6% 4% 2% 0% 2014 2015 2016 2017

Patient to Doctor Primary Care and Access to Health Care 2013 2016 Ratio – 2017 16% 15% 14% 14% 12% 9% 10% 8% 8% 6% 4% Bay County Michigan 2% Top US Performers 2,500 0% No Primary Care Provider No Access to Health Care in Last 12 Months 1,910 2,000 1,510 1,500 1,320 1,320 1,240 1,040 1,000 480 460 500 360 0 Patient to Primary Care Ratio Patient to Dentist Ratio Patient to Mental Health Provider Ratio

Causes of Hospitalizations by Diagnosis 2,500 2,000 1,500 1,000 2014 2016 500 0

Ten Leading Causes of Death 500 450 400 350 300 250 200 150 100 2013 50 2016 0

Death by Suicide 25 Bay County Suicide Deaths by Gender All Suicides - Bay County 20 23 25 20 15 20 16 15 21 21 15 10 10 5 5 8 0 0 2011 2012 2013 2014 2015 2016 2017 2011 2012 2013 2014 2015 2016 2017 Male Female 14 12 10 8 6 4 2 0 2011 2012 2013 2014 2015 2016 2017 Under 25 25-54 55-64 65-74 75-84 85+

Health Insurance Coverage Percent Employed Unemployed Graduated High Bachelors Degree Uninsured School/GED or higher 5% 6% 23% 6% 2% Type of Private Health Insurance Coverage Percent 60% 49.6% 45.4% Uninsured by Age 50% 40% Under 18 4% 30% 22.0% 19.0% 19-25 7% 20% 4.0% 4.0% 10% 18-64 7% 0%

Health Behaviors - Youth Middle School Students Obese or Overweight 60% 50% 40% 30% 20% 10% 0% 2008 2010 2012 2014 2016 Overweight Obese High School Students Obese or Overweight 60% 50% 40% 30% 20% 10% 0% 2008 2010 2012 2014 2016 Overweight Obese

Health Behaviors - Youth Middle Schoolers 50% 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% 2008 2010 2012 2014 2016 % students who ate 5+ servings per day of fruits and vegetables % students who drank 3+ glasses of milk % students who drank a can, bottle, or glass of soda/pop 1+ times/day % students who did not eat breakfast

Health Behaviors - Youth 45% High Schoolers 40% 35% 30% 25% 20% 15% 10% 5% 0% 2008 2010 2012 2014 2016 % students who ate 5+ servings per day of fruits and vegetables % students who drank 3+ glasses of milk % students who drank a can, bottle, or glass of soda/pop 1+ times/day % of students who did not eat breakfast

Health Behaviors - Youth Students Physically Active for at least 60 Minutes or More of the Past 7 Days Middle School High School 70% 60% 60% 58% 60% 55% 53% 57% 50% 54% 54% 50% 47% 40% 30% 20% 10% 0% 2008 2010 2012 2014 2016

Health Behaviors - Youth Percent of Students Who Were Bullied in the Last 12 Months Middle School High School 45% 39% 40% 35% 30% 27% 25% 22% 20% 20% 15% 10% 5% 0% Bullied on School Property in Last 12 Months Bullied Electronically in Last 12 Months

Health Behaviors - Youth Percent of Students whose Parents Ask Whether Their Homework is Done 30% 25% 25% 20% 15% 12% 10% 5% 0% Middle School High School Percentage of Students Whose Parents Would Not Know If They Did Not Come Home On Time 18% 16% 16% 13% 14% 12% 10% 8% 6% 4% 2% 0% Middle School High School

Health Behaviors - Youth Percent of Youth Who Have Smoked Cigarettes in the Past 30 Days 50% Middle School High School 39% 39% 40% 30% 20% 10% 10% 9% 10% 3% 3% 6% 4% 4% 0% 2008 2010 2012 2014 2016 Alcohol Use Among High School Students Alcohol Use Among Middle School Students 40% 15% 30% 10% 20% 5% 10% 0% 0% 2008 2010 2012 2014 2016 2008 2010 2012 2014 2016 Drank Alcohol in Last 30 Days Drank Alcohol in Last 30 Days Had 5 or More Drinks w/in a Couple of Hours, in the Last Had 5 or More Drinks w/in a Couple Of Hours in Past 30 Days 30 Days

Health Behaviors Youth Other Drug Use Among Middle School Students 14% 12% 10% 8% 2008 2010 6% 2012 2014 4% 2016 2% 0% Used Marijuana in Sniffed Glue or Took a Took a Painkiller Used Any Form of Used a Needle to Past 30 Days Breathed Contents Prescription Drug w/out a Cocaine (Lifetime) Inject any Illegal of Spray Can w/out a Prescription in Drug Prescription in Past 30 Days Past 30 Days

Health Behaviors - Youth Other Drug Use Among High School Students 20% 18% 16% 14% 12% 2008 10% 2010 8% 2012 2014 6% 2016 4% 2% 0% Used Marijuana Sniffed Glue or Took a Took a Used Heroin in Used Any Form Used a Needle in Past 30 Days Breathed Prescription Painkiller w/out the Past 30 of Cocaine to Inject any Contents of Drug w/out a a Prescription Days (Lifetime) Illegal Drug Spray Can Prescription in in Past 30 Days Past 30 Days

Health Behaviors - Adults Weight Trends Among Adults - Bay County 50% 40% 30% 20% 10% Healthy Weight Overweight Obese 0% 2007-2009 2008-2010 2011-2013 2013-2015 2014-2016 Physical Activity Behaviors Among Adults - Bay County Adult Fruit and Vegetable Consumption - Bay County 2015 2011 2015 50% 44% 40% 35% 45% 35% 40% 33% 30% 35% 24% 30% 25% 25% 20% 20% 13% 15% 11% 12% 15% 10% 6% 10% 5% 5% 0% 0% 0% No Leisure Activity Limitation Adequate Physical Fruit < 1 time/day Vegetables < 1 Fruits and Vegetables > time/day 5 times/day

Health Behaviors – Adults Smoking Behavior Among Adults Alcohol Use Among Adults 2014 55% 60% 53% 60% 52% 2014 49% 50% 2016 40% 40% 28% 24% 24% 30% 23% 21% 19% 20% 20% 10% 0% 0% Any Drinking Binge Drinking Current Smoker Former Smoker Never Smoked Alcohol and Marijuana Driving and Fatalities Drinking Driver Fatalities Marijuana Driver Fatalities Dirnking and Marijuana Driver Fatalities 350 300 250 200 150 100 50 0 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017