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Safe and Healthy Futures in Genesee County Prevention Research Center of Michigan 2012 Symposium 1 Welcome and Introduction David Gordon , Dean, UM Flint School of Health Professions and Studies Mark Valacak , Health Officer, Genesee County

  1. Safe and Healthy Futures in Genesee County Prevention Research Center of Michigan 2012 Symposium 1

  2. Welcome and Introduction David Gordon , Dean, UM Flint School of Health Professions and Studies Mark Valacak , Health Officer, Genesee County Health Department

  3. Overview of the PRC/MI Marc Zimmerman Director, PRC/MI University of Michigan School of Public Health

  4. PRC/MI Community Board Partners Dort-Oak Park Neighborhood Genesee County Community House Action Resource Center Greater Flint Health Coalition Flint Odyssey Awareness Center YOUR Center Flint/Genesee County Neighborhood Roundtable University of Michigan School of Public Health Genesee County Health Department University of Michigan - Flint

  5. 2011 Speak To Your Health! Community Survey Presented by the PRC/MI Survey Committee and the PRC/MI Genesee County Community Board

  6. Survey Methodology Daniel J. Kruger, University of Michigan School of Public Health

  7. 2011 Survey Committee Co-Chairs: Daniel Kruger, UM-SPH (past Chair)  Susan Frazier-Kouassi, UM-SPH (current Chair)  Suzanne Cupal, Genesee County Health Department  Committee Members: Bettina Campbell, YOUR Center  E. Hill De Loney, Flint Odyssey House - HAC  Micki Juip, Hurley Medical Center  Erin Conklin, Genesys Health System  Arlene Sparks, GCCARD  Mark Valacak, Genesee County Health Officer 

  8. Multi-modal Design  Random sample of adults 18+ in Genesee County  Telephone interviews  Mailed hard copy  On-line survey  Results will be weighted

  9. Multi-modal survey 911 Mail-in 285 Online 61 Telephone 15 CBO recruited 9

  10. 2011 Survey Topics Physical and Mental Health  Health Care Access, Coverage, Satisfaction,  Trust  Health Promoting Behaviors (nutrition, exercise, etc.) Health Adverse Behaviors (tobacco use, etc.)  Spirituality, Religion, and Health   Experiences of and Perceptions of Racism Financial Health  Violence, Crime, and Incarceration  Perceptions of Neighborhood Conditions   Sleep Quality

  11. Strengths  Needs assessment, planning, and program evaluation  Best local health data in Michigan  Comparison of health data at various levels  Geographic mapping of information can identify areas with certain assets or need

  12. Geographic Mapping Survey data can be mapped and analyzed at different geographical levels: • Census Tract • ZIP Code • School attendance area • City Ward • Etc.

  13. Nutrition and Physical Activity Tony Cuttitta Greater Flint Health Coalition

  14. Percent Who Consume at Least 5 Fruits and Vegetables per Day, 2005-2011

  15. Consume at Least 5 Fruits and Vegetables per Day by Race, 2011 35 30 25 20 Total African American 15 European American 10 5 0 Flint Genesee County

  16. Difficulty Getting to a Grocery Store or Supermarket with a Variety of Fresh Fruits and Vegetables by Race, 2011 30 25 20 Total 15 African American 10 European American 5 0 Flint Genesee County

  17. How many days per week do you engage in moderate physical activity? 100 90 80 70 0 60 1 50 2 p < .05 40 3 30 4 20 5+ 10 0 Black or African White American

  18. How many days per week do you engage in vigorous physical activity? 100 90 80 70 0 60 1 50 2 No difference 40 3 30 4 20 5+ 10 0 Black or African White American

  19. Is there a park in your neighborhood that you feel safe using for physical activity? 100 90 80 Percent saying “Yes” 70 60 50 p < .001 40 30 20 10 0 Black or African White American

  20. Diabetes Micki Juip Hurley Medical Center

  21. Have you been diagnosed with diabetes by a doctor? (by race)

  22. Have you been diagnosed with diabetes by a doctor? (by age) 30 25 20 15 Genesee County 10 Michigan 5 0 18-24 25-34 35-44 45-54 55-64 65-74 75+

  23. Mental Health Shante Burke Community Mental Health

  24. Mental health: Stress How often have you... ...been upset because of something that happened that you didn’t expect? ...felt nervous and stressed out? ...felt that you had so many problems that you could not deal with them? 24

  25. Mental health: Depressive symptoms During the past week, how often you felt or thought... …lonely …blue or sad …no interest in things 25

  26. Discrimination Elder Sarah Bailey, Bridges into the Future 26

  27. How often are you… ignored, overlooked, or not given service (restaurant, store, etc.) 27

  28. How often are you… treated rudely or disrespectfully 28

  29. How often are you… observed or followed while in public places 29

  30. How often are you… treated as if you were stupid, being talked down to? 30

  31. How often are… Your ideas or opinions being minimized, ignored or devalued 31

  32. Total Discrimination 4 p < .001 3.5 3 2.5 2 1.98 1.8 1.5 1 Black or African White American 32

  33. Risk and Protective Behaviors for STIs Bettina Campbell, MSW YOUR Center

  34. With how many different partners have you had sexual intercourse within the past 12 months? 60 50 40 Percent 30 Flint 20 Out-County 10 0 0 1 2+ Number of Partners

  35. Do you know your partner or all of your partner ’ s HIV status? 90 80 70 60 Percent 50 Flint 40 Out-County 30 20 10 0 Yes No

  36. What do you think are your chances of getting HIV? 80 70 60 50 Percent 40 Flint 30 Out-County 20 10 0 None Low Medium High Perceived chance of getting HIV

  37. Frequency of condom use when having sex with a new partner 37

  38. Neighborhood Perceptions Daniel Kruger, PRC/MI

  39. How satisfied are you with the quality of life in your neighborhood? 60 50 40 30 Flint Genesee County 20 10 0 Very Dissatisfied Satisfied Very Dissatisfied Satisfied

  40. How often do you and other people in this neighborhood visit in each other ’ s homes or outside the home? Flint Genesee County 39.4 34.6 29.5 28.9 23.6 16.8 14.2 13 Never Rarely Sometimes Often

  41. People in this neighborhood are willing to help their neighbors 50 40 30 20 10 0 Strongly Disagree Neither Agree Strongly Disagree Agree nor Agree Disagree Flint Genesee County

  42. People in this neighborhood can be trusted. Flint Genesee County 39.6 28.9 28.7 23.9 19.5 18.8 13.7 11.1 9.2 6.6 Strongly Disagree Neither Agree Agree Strongly Agree Disagree nor Disagree

  43. How fearful are you about crime in your neighborhood? Flint Genesee County 45.3 40 33.6 33.2 16.9 16.2 10.7 4.2 Very fearful Somewhat Not very fearful Not at all fearful fearful

  44. How safe is it to walk around alone in your neighborhood during the daytime? Flint Genesee County 52.7 47.4 37.4 22.8 15.5 10.9 9.1 4.3 Extremely Somewhat Fairly safe Completely dangerous dangerous safe

  45. How safe is it to walk around alone in your neighborhood after dark? Flint Genesee County 40 34.8 33 32 25 22.5 9 2.7 Extremely Somewhat Fairly safe Completely dangerous dangerous safe

  46. Social Capital Susan Frazier-Kouassi, PhD Prevention Research Center of Michigan

  47. I often get emotional support and practical help from my blood relatives 39.2 37.4 13 8.1 2.3 Strongly Agree Neither Disagree Strongly Agree Agree nor Disagree Disagree 47

  48. I often get emotional support and practical help from my friends 47.8 29.7 15.9 4.7 1.9 Strongly Agree Neither Disagree Strongly Agree Agree nor Disagree Disagree 48

  49. I am closely connected to and involved in my community 38.7 27.4 18.8 10.2 4.9 Strongly Agree Neither Disagree Strongly Agree Agree nor Disagree Disagree 49

  50. I am closely connected to and involved in my church or religious organization 28.1 23.8 21.9 17.4 8.7 Strongly Agree Neither Disagree Strongly Agree Agree nor Disagree Disagree 50

  51. Social Capital 4.5 4 3.5 3 2.5 Black or African 2 American 1.5 White 1 * p < .05 *** p < .001

  52. For more information  Sign up to receive our monthly Speak to Your Health News Briefs  Request a presentation for your organization

  53. http://prc.sph.umich.edu 53

  54. Acknowledgements The 2011 Speak To Your Health Survey was sponsored by : Prevention Research Center of Michigan, UM SPH Michigan Youth Violence Prevention Center, UM SPH Crim Foundation Special thanks to our event sponsor: UM-Flint School of Health Professions and Studies 54

  55. Next Sessions Michigan Youth Violence Prevention Center - Rm 1205 HOPE: HIV/STD Outreach, Prevention and Education – Rm 3201 Motherly Intercession: Strengthening Incarcerated Families – Rm 3202 YES: Youth Empowerment Solutions – Rm 3203 55

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