Preliminary Findings of Durham County's Community Health Opinion S - PowerPoint PPT Presentation

Preliminary Findings of Durham County's Community Health Opinion S urvey Melanie Napier Kristen Ricchetti-Masterson UNC, Gillings School of Global Public Health, Department of Epidemiology April 20, 2011 In Collaboration with: Durham County Health Department & Partnership for a Healthy Durham

Outline of Presentation • Background on Community Health Assessment (CHA) process • Survey design/ implementation • Limitations • Highlights of findings ▫ Demographics of participants ▫ Quality of life ▫ Community problems ▫ Personal health ▫ Emergency Preparedness • Questions

North Carolina CHA Process Phase 1 • Establish CHA Team Phase 2 • Collect Primary Data Phase 3 • Collect Secondary Data Phase 4 • Analyze & Interpret Data Phase 5 • Determine Health Priorities Phase 6 • Create CHA Document Phase 7 • Disseminate CHA Document Phase 8 • Develop Health Action Plans

Survey Design/ Implementation

Data Collection • Two-stage cluster sampling design • Thursday, July 16 through Sunday, July 20, 2010 • Door-to-door interviews ▫ 30 census block groups (or clusters), 7 interviews per cluster ▫ Ten teams of two volunteer interviewers, each responsible for 3 census blocks, or 21 completed surveys ▫ Data collected by handheld GPS-enabled computers ▫ Goal of 210 surveys – we did 206!

Map of the 30 census block groups and 20 6 points that were surveyed

S urvey Design • 55 questions • Five parts ▫ Quality of life ▫ Community problems & issues ▫ Personal health ▫ Emergency preparedness ▫ Demographics

Limitations • Volunteer interviewers • Door-to-door survey ▫ More likely to capture data from people at home during the day (i.e. elderly, unemployed/ work from home, disabled, lonely, etc.) • Survey timing ▫ Data collected in July 2010, making some concerns moot while missing newer, more pertinent ones • Precision

Highlights of Survey Findings Population Demographics

Age North South Total 20 0 0 Census 5% 4% 18-24 4.4% 16.6% 8% 22% 25-34 18.0% 24.6% 13% 18% 35-44 16.0% 20.5% 24% 18% 45-54 19.4% 16.5% 32% 20% 55-64 23.3% 9.2% 10% 10% 65-74 9.7% 6.3% 10% 9% 75 or older 9.2% 6.2%

Gender North South Total 20 0 0 Census Male 42.9% 40.8% 41.5% 47.3% Female 57.1% 59.2% 58.5% 52.7%

Race & Ethnicity Hispanic/ Latino North South Total 20 0 0 Census Yes 6.3% 6.3% 6.3% 7.6% No 93.7% 93.7% 93.7% 92.4% North South Total 20 0 0 Census Black or African American 17.5% 52.4% 41.7% 39.5% American Indian/ Alaskan Native 6.3% 2.1% 3.4% 0.3% Asian or Pacific Islander 0.0% 2.1% 1.5% 3.3% White 77.8% 44.8% 54.9% 50.9% Prefer not to answer 0.0% 0.0% 0.0% -- Other, unspecified 3.2% 1.4% 1.9% --

Languages S poken at Home North South Total English 98.4% 96.5% 97.1% Spanish 4.8% 5.6% 5.3% Other, unspecified 1.6% 2.1% 1.9% Amharic 0.0% 0.7% 0.5% Bengali 0.0% 0.7% 0.5% Chinese 0.0% 0.7% 0.5% Sign language 1.6% 0.0% 0.5% Hindu 0.0% 0.7% 0.5% Urdu 0.0% 0.7% 0.5%

Highest Education Achieved North South Total None 1.6% 0.0% 0.5% 6th grade 0.0% 0.7% 0.5% Some high school, no diploma 4.8% 11.2% 9.2% High school diploma or GED 14.3% 17.5% 16.5% Associate’s Degree or Vocational Training 14.3% 5.6% 8.3% Some college (no degree) 23.8% 13.3% 16.5% Bachelor’s degree 14.3% 22.4% 19.9% Graduate/ professional degree 27.0% 28.0% 27.7% Other, unspecified 0.0% 1.4% 1.0%

Employment S tatus Em ploym ent Status North South Total Employed full-time 46.0% 46.9% 46.6% Employed part-time 12.7% 11.2% 11.7% Retired 28.6% 21.0% 23.3% Military 0.0% 2.1% 1.5% Unemployed 11.1% 7.7% 8.7% Disabled 1.6% 5.6% 4.4% Student 3.2% 6.3% 5.3% Homemaker 6.3% 4.2% 4.9% Self-employed 4.8% 9.1% 7.8%

Gross Household Income and S ize Household Total Household Total incom e, 20 0 9 size 1 27.3% Less than $14,999 14.4% 2 33.2% $15,000 - $24,999 10.9% 3 18.0% $25,000 - $34,999 8.5% 4 11.7% $35,000 - $49,999 17.4% 5 5.4% $50,000 - $74,999 15.9% 6 2.4% Over $75,000 23.4% 7 1.5% Refused to Answer 9.5% 8 0.5%

Highlights of Survey Findings Quality of Life

“ Durham County is a good place to raise children” Strongly Disagree, 2.5% Disagree, Strongly Agree, 14.0% 22.0% Agree, 61.5%

“ Durham County is a good place to grow old” Strongly Disagree, 2.0% Disagree, 12.9% Strongly Agree, 26.9% Agree, 58.2%

“ There is plenty of economic opportunity in Durham County” Strongly Disagree, 4.5% Strongly Agree, 11.9% Disagree, 29.9% Agree, 53.7%

“ There is plenty of help for individuals and families during times of need in Durham County” Strongly Disagree, 6.3% Strongly Agree, 15.7% Disagree, 20.9% Agree, 57.1%

Highlights of Survey Findings Community Problems & Issues

Top Three Environmental Issues 0% 10% 20% 30% 40% 50% Unsafe, unmaintained roads 37% North 32% Safe & clean drinking water 29% Roadside litter Safe & clean drinking water 42% South 31% Unsafe, unmaintained roads 26% Unsafe, unmaintained sidewalks Safe & clean drinking water 39% Total 33% Unsafe, unmaintained roads 24% Population growth

Top Three Community Issues 0% 10% 20% 30% 40% 50% 60% Gang involvement 52% North 24% Unemployment 22% Homelessness Gang involvement 42% South 32% Homelessness 24% Positive teen activities Gang involvement 45% Total 29% Homelessness 20% TIE: Unemployment & Positive teen activities

Top Three Risky Behaviors 0% 10% 20% 30% 40% 50% Drug or ℞ medication abuse 41% North 35% Reckless/ drunk driving 30% TIE: Alcohol abuse & Violent behavior Drug or ℞ medication abuse 38% South 38% Alcohol abuse 34% Violent behavior Drug or ℞ medication abuse 39% Total 35% Alcohol abuse 33% Violent behavior

Top Three Health Problems 0% 10% 20% 30% 40% 50% Addiction to alcohol, drugs, or ℞ pills 46% North 46% Obesity / overweight 35% Heart disease / heart attacks Addiction to alcohol, drugs, or ℞ pills 38% South 37% Obesity / overweight 35% Heart disease / heart attacks Addiction to alcohol, drugs, or ℞ pills 41% Total 40% Obesity / overweight 35% Heart disease / heart attacks

What one thing would make Durham County or your neighborhood a healthier place to live?

Categories of Responses • Air Quality • Local Food Options (Community Garden, Farmers Market • Animal Control • Police Presence/ Reduced Crime/ Neighborhood • Childcare Watch/ Gun Control • Cleanliness/ Waste Collection/ Recycling • Political Change • Community Cohesion, Engagement & Unity • Poverty • Drugs • Property Values/ Taxes • Education/ Schools • Prostitution • Environmental Health • Public Health Communication • Family Planning Options • Recreation • Getting Problems Resolved Space/ Facilities/ Maintenance/ Programs • Healthcare • Safety (General) ▫ Access • Smoking/ Alcohol ▫ Affordability • Social Services ▫ Education ▫ • Teen Programs/ Outreach Quality ▫ Workforce • Transportation Maintenance & Safety • Healthy Eating/ Nutrition/ Exercise ▫ Bikes ▫ • Homelessness Public Transport ▫ Roads, Sidewalks & Streetlights • Housing: • Violence/ Gang Violence Access/ Maintenance/ Quality/ Affordability • Other / Don’t know / None • Job Growth/ Economy/ Economic Development

Categories of Responses, Percents • Air Quality (1.6%) • Local Food Options (Community Garden, Farmers Market (3.6 %) • Animal Control (2.1%) • Police Presence/ Reduced Crime/ Neighborhood • Childcare (0 .5%) Watch/ Gun Control (7.8 %) • Cleanliness/ Waste Collection/ Recycling (1.6%) • Political Change (1.0 %) • Community Cohesion, Engagement & Unity (8 .8 %) • Poverty (1.0 %) • Drugs (4.1%) • Property Values/ Taxes (0 .5%) • Education/ Schools (5.2%) • Prostitution (1.0 %) • Environmental Health (2.1%) • Public Health Communication (2.1%) • Family Planning Options (0 .5%) • Recreation • Getting Problems Resolved (0 .5%) Space/ Facilities/ Maintenance/ Programs (7.3%) • Healthcare • Safety (General) (2.1%) ▫ Access (7.8 %) • Smoking/ Alcohol (1.6%) ▫ Affordability (1.0 %) • Social Services (4 .1%) ▫ Education (0 .5%) ▫ • Teen Programs/ Outreach (2.1%) Quality (0 .5%) ▫ Workforce (0 .5%) • Transportation Maintenance & Safety • Healthy Eating/ Nutrition/ Exercise (9.3%) ▫ Bikes (3.1%) ▫ • Homelessness (2.1%) Public Transport (4 .1%) ▫ Roads, Sidewalks & Streetlights (7.8 %) • Housing: Access/ Maintenance/ Quality/ Affordability • Violence/ Gang Violence (3.1%) (1.0 %) • Other (3.6%) / Don’t know (4.1% ) / None (6 .2% ) • Job Growth/ Economy/ Economic Development (5.2%)

Top Responses (>5% ) 0% 2% 4% 6% 8% 10% Healthy Eating/ Nutrition/ Exercise Community Cohesion, Engagement & Unity Healthcare: Access Police Presence/ Reduced Crime/ Neighborhood Watch/ Gun Control Transportation Maintenance & Safety: Roads, Sidewalks & Streetlights Recreation Space/ Facilities/ Maintenance/ Programs None Education/ Schools Job Growth/ Economy/ Economic Development