A Snapshot of Macomb County’s Health Profile Extracted ... · Data was obtained in two ways. First, values for Michigan and Macomb County were extracted from the Michigan Behavioral

A Snapshot of Macomb

County’s Health Profile

Extracted from the Michigan

Behavioral Risk Factor

Surveillance System,

2012-2014

2015

MACOMB COUNTY HEALTH DEPARTMENT

MOUNT CLEMENS, MI 48043

1

Methods & County Overview ............................................................................................................................................... 2

Summary ................................................................................................................................................................................ 3

Macomb County Zip Code Regions..................................................................................................................................... 4

Macomb County Zip Code Region Summary ..................................................................................................................... 5

Macomb County Zip Code Region Rankings ..................................................................................................................... 6

Macomb County Zip Code Level Data ................................................................................................................................. 7

Access to Care: No Health Care Coverage ............................................................................................................... 7

Physical Activity: Activity Limitations ........................................................................................................................... 8

No Leisure Time Physical Activity ................................................................................................... 9

Communicable & HIV Testing .................................................................................................................................... 10

Infectious Disease: Flu Vaccine Among Adults >65 Years .......................................................................................... 11

Pneumonia Vaccine Among Adults >65 Years ............................................................................. 12

Chronic Disease: Heart Attack ................................................................................................................................... 13

Angina or Coronary Heart Disease ............................................................................................... 14

Cardiovascular Disease ................................................................................................................ 15

Stroke ............................................................................................................................................ 16

History of Asthma .......................................................................................................................... 17

Current Asthma ............................................................................................................................. 18

Diabetes ......................................................................................................................................... 19

Cancer ........................................................................................................................................... 20

General Health: General Health Status ................................................................................................................... 21

Physical Health ............................................................................................................................. 22

Mental Health ................................................................................................................................ 23

Preventative Care: Colorectal Cancer Screening ........................................................................................................ 24

No Routine Checkup in Past Year ................................................................................................ 25

Cigarette Smoking: Current Smoker ............................................................................................................................. 26

Former Smoker ............................................................................................................................. 27

Never Smoker ............................................................................................................................... 28

Social: Disability ........................................................................................................................................ 29

Weight Status: Healthy Weight .............................................................................................................................. 30

Overweight .................................................................................................................................... 31

Obese ............................................................................................................................................ 32

References .......................................................................................................................................................................... 33

Table of Contents

2

Methods Data was obtained in two ways. First, values for Michigan and Macomb County were extracted from the Michigan Behavioral Risk Factor Survey (MiBRFS) of Health Indicators and Risk Estimates by Community Health Assessment Regions & Local Health Departments for 2012-2014. This data was compiled into Table 1 to establish a visual comparison. Next, zip code level data for Macomb County from 2012-2014 MiBRFS was requested from Chris Fussman, Coordinator/ Epidemiologist for the Michigan Behavioral Risk Factor Surveillance System at the Michigan Department of Health and Human Services. Six zip code cluster cregions were established in Macomb County. Responses among residents from each region were analyzed and the results (Table 3) mapped using ArcGIS for each health indicator. The results for each health indicator were evaluated among the zip code regions and the regions then ranked by most favorable and least favorable (Table 4).

Macomb County According to the U.S. Census Bureau American Community Survey 2009-13 5-year estimates, a total of 845,197 people live within the 479.10 square miles that make up Macomb County. The population density for this area, estimated at 1,764.13 persons per square mile, is greater than the national average population density of 88.23 persons per square mile.

Report Area Total Population Total Land Area (Square Miles)

Population Density (Per Square Mile)

Macomb County 845,197 479.10 1,764.13

Michigan 9,886,095 56,523.93 174.9

Report Area White Black Asian Native American / Alaska Native

Native Hawaiian / Pacific Islander

Some Other Race

Multiple Races

Macomb County 84.64%

9.34% 3.24% 0.26% 0.03% 0.53% 1.97%

Michigan 79.31%

14.01% 2.54% 0.56% 0.02% 1.09% 2.47%

Methods & County Overview

3

Summary

Table 1. A Comparison of Risk Factors between the State of Michigan and Macomb County

from the Michigan Behavioral Risk Factor Survey, 2012-2014

Table 1. A Comparison of Health Indicator Values between Michigan and Macomb County from

the Michigan Behavioral Risk Factor Survey, 2012-2014

Health Indicator

Percent (%) Where MC

Ranks Better

than MI

Michigan (MI)

Macomb County

(MC)

Access to Care

No Health Care Coverage Among Those Aged 18-64 Years 15.6 14.7 *

Physical Activity

Activity Limitations on at Least 14 Days in the Past Month 8.9 7.0 *

No Leisure Time Physical Activity 24.4 24.4

Communicable & Infectious Disease

Ever Had HIV Test 40.6 39.3

Flu Vaccine in Past Year Among Adults 65 Years and Older 56.6 56.2

Ever Had Pneumonia Vaccine Among Adults 65 Years and Older 68.2 71.2 *

Chronic Disease

Ever Told Heart Attack 5.2 5.3

Ever Told Angina or Coronary Heart Disease 5.2 5.9

Ever Told Any Cardiovascular Disease 10.0 10.8

Ever Told Stroke 3.4 4.7

Ever Told Asthma 15.8 17.2

Current Asthma 11.0 11.4

Ever Told Diabetes 10.4 8.5 *

Ever Told Cancer 12.2 12.4

General Health

General Health, Fair or Poor 17.2 17.2

Poor Physical Health on at Least 14 Days in the Past Month 12.9 11.0 *

Poor Mental Health on at Least 14 Days in the Past Month 12.6 12.0 *

Preventative Care

Colorectal Cancer Screening Among Adults 50 Years and Older 68.6 71.5 *

No Routine Checkup in Past Year 30.6 29.6 *

Cigarette Smoking

Current Smoking 22.0 25.3

Former Smoking 26.5 26.0

Never Smoked 51.5 48.7

Social

Have Disability 25.0 23.6 *

Weight Status

Healthy Weight 32.6 32.0

Overweight 34.7 33.1 *

Obese 31.1 33.1

4

Table 2. Zip Code Cluster Regions Established in Macomb County to Analyze

Risk Factor Data from the Michigan Behavioral Risk Factor Survey, 2012-2014

Figure 1. Zip Code Regions Established in Macomb

County to Analyze Risk Factor Data from the Michigan

Behavioral Risk Factor Survey, 2012-2014

Zip Code Region

Zip Code City

1

48035 Clinton Township



48045 Harrison Township

48026 Fraser

48043 Mount Clemens

2

48047 New Baltimore

48051 New Baltimore

48005 Armada

48050 Lenox

48048 New Haven

48096 Ray Township

48065 Bruce

48062 Richmond

3

48094 Washington Township

48095 Washington Township

48042 Macomb

48044 Macomb

48315 Shelby Township



4

48080 St. Clair Shores



48021 Eastpointe

48066 Roseville

5

48015 Center Line

48088 Warren

48089 Warren

48091 Warren

48092 Warren

48093 Warren

6

48310 Sterling Heights




48315 Utica

48317 Utica

Macomb County Zip Code Regions

5

Table 3. A compilation of Health Indicator Data by Zip Code Region in Macomb County from the Michigan Behavioral

Risk Factor Survey, 2012-2014

Health Indicator Percent (%) by Zip Code Region

1 2 3 4 5 6

Access to Care

No Health Care Coverage Among Those Aged 18-64 Years 10.5 - 8.6 12.3 13.2 13.0

Physical Activity

Activity Limitations on at Least 14 Days in the Past Month 8.7 6.3 - 8.2 8.2 6.0

No Leisure Time Physical Activity 22.2 28.4 18.6 28.1 29.2 23.0


Ever Had HIV Test 33.3 28.4 30.1 44.0 38.0 30.2

Flu Vaccine in Past Year Among Adults 65 Years and Older 54.3 58.6 55.9 48.3 60.3 66.1

Ever Had Pneumonia Vaccine Among Adults 65 Years and Older 69.0 69.8 69.4 71.8 71.2 83.7

Chronic Disease

Ever Told Heart Attack 4.6 - 6.1 6.6 6.6 6.1

Ever Told Angina or Coronary Heart Disease 5.2 7.4 5.6 5.2 7.2 6.5

Ever Told Any Cardiovascular Disease 10.2 9.2 8.9 10.6 12.0 11.2

Ever Told Stroke 5.4 - - 5.0 5.7 -

Ever Told Asthma 18.4 17.7 15.9 17.7 19.7 16.4

Current Asthma 11.4 16.5 8.5 11.4 12.5 11.9

Ever Told Diabetes 9.3 6.7 5.7 7.7 11.3 9.1

Ever Told Cancer 14.8 12.6 12.8 9.4 12.1 11.7

General Health

General Health, Fair or Poor 19.5 20.3 12.3 17.8 19.5 15.3

Poor Physical Health on at Least 14 Days in the Past Month 13.6 10.4 8.1 15.5 12.6 7.2

Poor Mental Health on at Least 14 Days in the Past Month 14.6 8.7 8.0 16.9 14.2 7.4

Preventative Care

Colorectal Cancer Screening Among Adults 50 Years and Older 74.3 76.5 71.9 71.6 74.9 78.3

No Routine Checkup in Past Year 28.9 25.3 31.9 29.8 30.1 30.1

Cigarette Smoking

Current Smoking 24.6 31.0 15.8 33.1 33.9 19.0

Former Smoking 31.0 21.7 27.7 25.2 21.6 25.7

Never Smoked 44.4 47.3 47.3 41.7 44.5 55.3

Social

Have Disability 24.2 26.5 19.5 26.7 29.6 18.5

Weight Status

Healthy Weight 35.9 25.5 34.8 28.3 28.9 31.7

Overweight 30.5 30.5 34.8 35.8 37.1 33.3

Obese 33.4 35.7 29.1 33.4 32.3 31.2

Macomb County Zip Code Region Summary

6

Macomb County Zip Code Region Ranking

Table 4. Ranking of the Most and Least Favorable Regions in Macomb County for each Health

Indicator from the Michigan Behavioral Risk Factor Survey, 2012-2014

Health Indicator Most

Favorable Region

Least Favorable

Region

Access to Care

No Health Care Coverage Among Those Aged 18-64 Years 3 5

Physical Activity

Activity Limitations on at Least 14 Days in the Past Month 6 1

No Leisure Time Physical Activity 3 5


Ever Had HIV Test 4 2

Flu Vaccine in Past Year Among Adults 65 Years and Older 6 4

Ever Had Pneumonia Vaccine Among Adults 65 Years and Older 6 1

Chronic Disease

Ever Told Heart Attack 1 4,5

Ever Told Angina or Coronary Heart Disease 1,4 2

Ever Told Any Cardiovascular Disease 3 5

Ever Told Stroke 4 5

Ever Told Asthma 3 5

Current Asthma 3 5

Ever Told Diabetes 3 5

Ever Told Cancer 4 1

General Health

General Health, Fair or Poor 3 2

Poor Physical Health on at Least 14 Days in the Past Month 6 4

Poor Mental Health on at Least 14 Days in the Past Month 6 4

Preventative Care

Colorectal Cancer Screening Among Adults 50 Years and Older 6 4

No Routine Checkup in Past Year 2 3

Cigarette Smoking

Current Smoking 3 5

Former Smoking 1 5

Never Smoked 6 4

Social

Have Disability 3 5

Weight Status

Healthy Weight 1 2

Overweight 1,2 5

Obese 3 2

7

Key Points

Of the 1,890 Macomb County residents

surveyed, 85.3% stated they had health

care coverage.

In Michigan, 84.4% of individuals

surveyed stated they had health care

coverage.

Region 3 of Macomb County reported

the highest rate of health care coverage,

at 91.4%, with 8.6% having no health

care coverage.


the highest rate of uninsured individuals

at 13.2%.

Figure 2. No Health Care Coverage Among Those Aged 18-64

Years Old by Zip Code Region in Macomb County, 2012-2014

Table 5. No Health Care Coverage Among

Those Aged 18-64 Years by Zip Code

Region in Macomb County, 2012-2014

Macomb County Zip

Code Regions

Percent (%)

95% Confidence

Interval

Region 1 10.5 (7.0-15.4)

Region 2 - -

Region 3 8.6 (4.8-14.7)

Region 4 12.3 (7.7-19.1)

Region 5 13.2 (8.8-19.3)

Region 6 13.0 (8.9-18.6)

No Health Care Coverage

8

Key Points

Of the 1,880 Macomb County residents surveyed, 93.0% stated they had activity limitations less than 13 days of the month.

In Michigan, 91.1% of individuals surveyed stated they had activity limitations for less than 13 days in the month.

Region 6 of Macomb County reported the least amount of activity limitations at 6% of individuals reporting activity limitations greater than 14 days.

Region 1 of Macomb County reported the highest amount of activity limitations at 8.7% of individuals reporting activity limitations greater than 14 days.

Table 6. Activity Limitations on at Least 14

Days in the Past Month by Zip Code Region

for Macomb County Residents, 2012-2014

Figure 3. Activity Limitations on at Least 14 Days in the Past

Month by Zip Code Region for Macomb County Residents,

2012-2014

1

Macomb County Zip

Code Regions

Percent (%)

95% Confidence

Interval

Region 1 8.7 (5.8-13.1)

Region 2 6.3 (3.6-10.9)

Region 3 - -

Region 4 8.2 (5.3-12.4)

Region 5 8.2 (5.2-12.7)

Region 6 6.0 (3.9-9.1)

Activity Limitations

9

Key Points

Of the 1,861 Macomb county residents

surveyed, 24.4% stated they had no

leisure time physical activity.


surveyed stated they had no leisure time

physical activity.


the highest rate of leisure time physical

activity, with 81.4% of residents

participating.


the lowest rate of individuals

participating in leisure time physical

activity, at 70.8%.

Table 7. No Leisure Time Physical

Activity by Zip Code Region for Macomb

County Residents, 2012-2014

Figure 4. No Leisure Time Physical Activity by Zip Code Region

for Macomb County Residents, 2012-2014

Macomb County Zip

Code Regions

Percent (%)

95% Confidence

Interval

Region 1 22.2 (17.2-28.1)

Region 2 28.4 (20.5-38.0)

Region 3 18.6 (13.2-25.5)

Region 4 28.1 (22.4-34.6)

Region 5 29.2 (23.1-36.0)

Region 6 23.0 (18.3-28.5)

No Leisure Time Physical Activity

10

Table 8. Ever Had an HIV Test by Zip

Code Region for Macomb County

Residents, 2012-2014

Figure 5. Ever Had a HIV Test by Zip Code Region for Macomb


Key Points

Of the 1,767 Macomb County residents surveyed, 39.3% stated they have had an HIV test.

In Michigan, 40.6% of individuals surveyed stated they had received an HIV test.

Region 4 of Macomb County reported the highest rate of HIV Testing, at 44.0%

Region 2 of Macomb County reported the lowest rate of HIV Testing at 28.4%.

Macomb County

Zip Code Regions

Percent (%)

95% Confidence

Interval

Region 1 33.3 (27.1-40.3)

Region 2 28.4 (20.9-37.3)

Region 3 30.1 (23.6-37.6)

Region 4 44.0 (36.9-51.4)

Region 5 38.0 (31.2-45.3)

Region 6 30.2 (24.5-36.5)

HIV Testing

11

Key Points

Of the 619 Macomb County residents surveyed, 56.2% stated they had received a flu vaccine in the past year.

In Michigan, 56.6% of individuals surveyed stated they had received a flu vaccine in the past year.

Region 6 of Macomb County reported the highest rate of flu vaccines received, at 66.1%.

Region 4 of Macomb County reported the lowest rate of flu vaccines received at 48.3%.

Figure 6. Residents 65 Years and Older Who Have Had a

Flu Vaccine in the Past Year by Zip Code Region for

Macomb County Residents, 2012-2014

Table 9. Residents 65 Years and Older

Who Have Had a Flu Vaccine in the Past

Year by Zip Code Region for Macomb


Macomb County

Zip Code Regions

Percent (%)

95% Confidence

Interval

Region 1 54.3 (44.9-63.4)

Region 2 58.6 (43.5-72.2)

Region 3 55.9 (43.8-67.2)

Region 4 48.3 (36.4-60.4)

Region 5 60.3 (48.8-70.8)

Region 6 66.1 (55.2-75.5)

Flu Vaccine Among Adults >65 Years

12

Figure 7. Residents 65 Years and Older Who Have Had a

Pneumonia Vaccine in the Past Year by Zip Code Region for


Key Points

Of the 603 Macomb County residents

surveyed, 71.2% stated they had ever

received a pneumonia vaccine.

In Michigan, 68.2% of individuals surveyed stated they had ever received a pneumonia vaccine.

Region 6 of Macomb County reported the highest rate of pneumonia vaccines, at 83.7%.

Region 1 of Macomb County reported the lowest rate of pneumonia vaccines at 69.0%.

Table 10. Residents 65 Years and

Older Who Have Had a Pneumonia

Vaccine in the Past Year by Zip Code

Region for Macomb County Residents,

2012-2014

Macomb County Zip

Code Regions

Percent (%)

95% Confidence

Interval

Region 1 69.0 (59.6-77.0)

Region 2 69.8 (54.1-81.9)

Region 3 69.4 (56.8-79.6)

Region 4 71.8 (60.2-81.0)

Region 5 71.2 (59.9-80.5)

Region 6 83.7 (74.8-89.8)

Pneumonia Vaccine Among Adults >65 Years

13

Key Points


surveyed, 5.3% stated they had ever been

told they had a heart attack.

In Michigan, 5.2% of individuals surveyed

stated they had ever been told they had a

heart attack.

Region 6 of Macomb County reported the

highest rate of individuals who had been

told they had a heart attack, at 6.6%


lowest rate of individuals who had been

told they had a heart attack at 3.7%

Table 11. Ever Told Heart Attack by Zip



Figure 8. Ever Told Heart Attack by Zip Code Region for


Macomb County

Zip Code Regions

Percent (%)

95% Confidence

Interval

Region 1 4.6 (3.1-6.8)

Region 2 - -

Region 3 6.1 (3.6-9.9)

Region 4 3.7 (2.1-6.5)

Region 5 6.6 (4.0-10.6)

Region 6 6.1 (4.0-9.2)

Heart Attack

14

Key Points

Of the 1,879 Macomb County residents surveyed, 5.9% stated they had ever been told they had coronary heart disease (CHD).

In Michigan, 5.2% of individuals surveyed stated they had ever been told they had coronary heart disease (CHD).

Region 2 of Macomb County reported the highest rate of individuals who have ever been told they had coronary heart disease (CHD), at 7.4%.

Region 1 and 4 of Macomb County reported the lowest rate of individuals who have ever been told they had coronary heart disease (CHD) at 5.2% each.

Table 12. Ever Told Angina or Coronary

Heart Disease by Zip Code Region for


Figure 9. Ever Told Angina or Coronary Heart Disease by Zip

Code Region for Macomb County Residents, 2012-2014

Macomb County

Zip Code Regions

Percent (%)

95% Confidence

Interval

Region 1 5.2 (3.3-8.2)

Region 2 7.4 (4.1-12.9)

Region 3 5.6 (3.3-9.3)

Region 4 5.2 (3.2-8.3)

Region 5 7.2 (4.6-11.2)

Region 6 6.5 (4.2-9.8)

Angina or Coronary Heart Disease

15

Key Points

Of the 1,884 Macomb County residents surveyed, 10.8% stated they had ever been told they had cardiovascular disease.

In Michigan, 10.0% of individuals surveyed stated they had ever been told they had cardiovascular disease.

Region 5 of Macomb County reported the highest rate of cardiovascular disease, at 12.0%.

Region 3 of Macomb County reported the lowest rate of cardiovascular disease at 8.9%.

Figure 10. Ever Told Any Cardiovascular Disease by Zip Code

Region for Macomb County Residents, 2012-2014

Table 13. Ever Told Any Cardiovascular

Disease by Zip Code Region for Macomb


Macomb County Zip

Code Regions

Percent (%)

95% Confidence

Interval

Region 1 10.2 (7.4-13.9)

Region 2 9.2 (5.6-14.7)

Region 3 8.9 (5.9-13.1)

Region 4 10.6 (7.5-14.8)

Region 5 12.0 (8.5-16.6)

Region 6 11.2 (8.0-15.6)

Cardiovascular Disease

16

Key Points

Of the 1,335 Macomb County residents surveyed, 4.7% stated they had ever been told they had a stroke.

In Michigan, 3.4% of individuals surveyed stated they had ever been told they had cardiovascular disease.

Region 5 of Macomb County reported the highest rate of stroke, at 5.7%.

Region 4 of Macomb County reported the lowest rate of cardiovascular disease at 5.0%.

Figure 11. Ever Told Stroke by Zip Code Region for Macomb


Table 14. Ever Told Stroke by Zip



Macomb County

Zip Code Regions

Percent (%)

95% Confidence

Interval

Region 1 5.4 (3.3-8.7)

Region 2 - -

Region 3 - -

Region 4 5.0 (2.8-8.8)

Region 5 5.7 (3.4-9.2)

Region 6 - -

Stroke

17

Key Points

Of the 1,892 Macomb County residents surveyed, 17.2% stated they had ever been told they had asthma.

In Michigan, 15.8% of individuals surveyed stated they had ever been told they had asthma.

Region 5 of Macomb County reported the highest rates of individuals who had been told they had asthma, at 19.7%.

Region 3 of Macomb County reported the lowest rate individuals who had been told they had asthma at 15.9%.

Table 15. Ever Told Asthma Among

Macomb County Residents by Zip Code

Region, 2012-2014

Figure 12. Ever Told Asthma Among Macomb County

Residents by Zip Code Region, 2012-2014

Macomb County

Zip Code Regions

Percent (%)

95% Confidence

Interval

Region 1 18.4 (13.4-24.8)

Region 2 17.7 (11.0-27.3)

Region 3 15.9 (11.4-21.8)

Region 4 17.7 (13.0-23.8)

Region 5 19.7 (14.4-26.2)

Region 6 16.4 (12.0-22.2)

History of Asthma

18

Key Points

Of the 1,881 Macomb County residents surveyed, 11.4% stated they currently had asthma.

In Michigan, 11.0% of individuals surveyed stated they currently had asthma.

Region 2 of Macomb County reported the highest rate of asthma, at 16.5%.

Region 3 of Macomb County reported the lowest rate of asthma at 8.5%.

Figure 13. Current Asthma among Macomb County Residents

by Zip Code Region, 2012-2014

Table 16. Current Asthma Among

Macomb County Residents by Zip

Code Region, 2012-2014

Macomb County

Zip Code Regions

Percent (%)

95% Confidence

Interval

Region 1 11.4 (7.4-17.2)

Region 2 16.5 (9.9-26.3)

Region 3 8.5 (5.7-12.5)

Region 4 11.4 (7.6-16.6)

Region 5 12.5 (8.7-17.6)

Region 6 11.9 (8.1-17.0)

Current Asthma

19

Key Points

Of the 1,893 Macomb County residents surveyed, 8.5% stated they had ever been told they had diabetes.

In Michigan, 10.4% of individuals surveyed stated they had ever been told they had diabetes.

Region 5 of Macomb County reported the highest rate of diabetes, at 11.3%.

Region 3 of Macomb County reported the lowest rate of diabetes at 5.7%.

Figure 14. Ever Told Diabetes Among Macomb County


Table 17. Ever Told Diabetes Among


Region, 2012-2014

Macomb County

Zip Code Regions

Percent (%)

95% Confidence

Interval

Region 1 9.3 (6.2-13.6)

Region 2 6.7 (4.1-10.6)

Region 3 5.7 (3.4-9.3)

Region 4 7.7 (5.0-11.8)

Region 5 11.3 (7.9-15.9)

Region 6 9.1 (6.7-12.4)

Diabetes

20

Key Points

Of the 1,891 Macomb County residents surveyed, 12.4% stated they had ever been told they had cancer.

In Michigan, 12.2% of individuals surveyed stated they had ever been told they had cancer.

Region 1 of Macomb County reported the highest rate of individuals who had been told they had cancer, at 14.8%.

Region 4 of Macomb County reported the lowest rate of individuals who had even been told they had cancer at 9.4%.

Figure 15. Ever Told Cancer Among Macomb County


Table 18. Ever Told Cancer Among


Region, 2012-2014

Macomb County Zip

Code Regions

Percent (%)

95% Confidence

Interval

Region 1 14.8 (11.2-19.4)

Region 2 12.6 (8.4-18.4)

Region 3 12.8 (9.5-17.0)

Region 4 9.4 (6.6-13.3)

Region 5 12.1 (8.6-16.7)

Region 6 11.7 (8.7-15.5)

Cancer

21

Key Points


surveyed, 17.2% stated their general

health status was fair or poor.


surveyed stated their general health

status was fair or poor.


highest rate of individuals in fair or poor

health, at 20.3%.


lowest rate of individuals in fair or poor

health at 12.3%.

Figure 16. General Health Status, Fair or Poor Among

Macomb County Residents by Zip Code Region, 2012-2014

Table 19. General Health Status, Fair or

Poor Among Macomb County Residents by

Zip Code Region, 2012-2014

Macomb County Zip

Code Regions

Percent (%)

95% Confidence

Interval

Region 1 19.5 (14.6-25.5)

Region 2 20.3 (13.3-29.6)

Region 3 12.3 (8.5-17.6)

Region 4 17.8 (13.3-23.3)

Region 5 19.5 (14.8-25.2)

Region 6 15.3 (11.6-19.9)

General Health Status

22

Table 20. Poor Physical Health on at

Least 14 Days in the Past Month

Among Macomb County Residents by


Figure 17. Poor Physical Health on at Least 14 Days in the

Past Month Among Macomb County Residents by Zip Code

Region, 2012-2014

Key Points


surveyed, 11.0% stated they had poor

physical health on at least 14 days in the

past month.


surveyed stated they had poor physical

health on at least 14 days in the past

month.


highest rate of poor physical health on at

least 14 days in the past month, at 15.5%


lowest rate of poor physical health on at

least 14 days in the past month, at 7.2%

Macomb County Zip

Code Regions

Percent (%)

95% Confidence

Interval

Region 1 13.6 (9.8-18.5)

Region 2 10.4 (6.5-16.2)

Region 3 8.1 (5.4-12.1)

Region 4 15.5 (11.1-21.1)

Region 5 12.6 (8.9-17.5)

Region 6 7.2 (5.0-10.3)

Physical Health

23

Key Points

Of the 1,873 of the Macomb County residents surveyed, 12.0% stated they had poor mental health on at least 14 days in the past month.

In Michigan, 12.6% of individuals surveyed stated they poor mental health on at least 14 days in the past month.

Region 4 of Macomb County reported the highest rate of poor mental health on at least 14 days in the past month, at 16.9%.

Region 6 of Macomb County reported the lowest rate of poor mental health on at least 14 days in the past month at 7.4%.

Figure 18. Poor Mental Health on at Least 14 Days in the Past

Month Among Macomb County Residents by Zip Code Region,

2012-2014

Table 21. Poor Mental Health on at

Least 14 Days in the Past Month

Among Macomb County Residents by


Macomb County

Zip Code Regions

Percent (%)

95% Confidence

Interval

Region 1 14.6 (10.7-19.7)

Region 2 8.7 (4.9-14.9)

Region 3 8.0 (4.8-13.0)

Region 4 16.9 (12.1-23.1)

Region 5 14.2 (9.6-20.5)

Region 6 7.4 (5.0-10.9)

Mental Health

24

Key Points

Of the 718 Macomb County residents surveyed, 71.5% stated they had received the appropriate colorectal cancer screening.

In Michigan, 68.6% of individuals surveyed stated they had received the appropriate colorectal cancer screening.

Region 6 of Macomb County reported the highest rate of appropriate colorectal cancer screenings at 78.3%.

Region 4 of Macomb County reported the lowest rate of appropriate colorectal cancer screenings at 71.6%.

Figure 19. Adults 50 Years and Older in Macomb County

Reporting by Zip Code Region Having Had a Sigmoidoscopy

in the Past 5 Years or Colonoscopy in the Past 10 Years,

2012-2014

Table 22. Proportion of Adults 50 Years and

Older Reporting by Zip Code Region Having

Had a Sigmoidoscopy in the Past 5 Years or

Colonoscopy in the Past 10 Years among


Macomb County Zip

Code Regions

Percent (%)

95% Confidence

Interval

Region 1 74.3 (65.2-81.7)

Region 2 76.5 (61.8-86.8)

Region 3 71.9 (61.5-80.3)

Region 4 71.6 (59.9-81.0)

Region 5 74.9 (64.1-83.3)

Region 6 78.3 (69.1-85.3)

Colorectal Cancer Screening

25

Key Points


surveyed, 29.6% stated they did not have

a health checkup within the past year.


surveyed stated they did not have a

health checkup within the past year.


highest rate of health checkups within the

past year, at 74.7%.


lowest rate of health checkups within the

past year at 68.1%.

Figure 20. No Routine Checkup in Past Year Among

Macomb County Residents by Zip Code Region, 2012-2014

Table 23. No Routine Checkup in Past

Year Among Macomb County Residents

by Zip Code Region, 2012-2014

Macomb County Zip

Code Regions

Percent (%)

95% Confidence

Interval

Region 1 28.9 (23.2-35.3)

Region 2 25.3 (18.4-33.6)

Region 3 31.9 (25.1-39.6)

Region 4 29.8 (23.6-36.8)

Region 5 30.1 (23.7-37.5)

Region 6 30.1 (24.2-36.7)

No Routine Checkup in Past Year

26

Key Points


surveyed, 25.3% stated they are a

current smoker.


surveyed stated they are a current

smoker.


highest rate of current smokers, at

33.9%.


lowest rate of current smokers, at 15.8%.

Figure 21. Current Smokers Among Macomb County


Table 24. Current Smokers Among



Macomb County Zip

Code Regions

Percent (%)

95% Confidence

Interval

Region 1 24.6 (19.1-30.9)

Region 2 31.0 (22.6-40.8)

Region 3 15.8 (10.7-22.6)

Region 4 33.1 (26.8-40.1)

Region 5 33.9 (26.9-41.6)

Region 6 19.0 (14.2-24.9)

Cigarette Smoking: Current Smoker

27

Key Points


surveyed, 26.0% stated they were a

former smoker.

In Michigan, 26.5% of survey participants

stated they are a former smoker.


highest rate of former smokers, at 31.0%.


lowest rate of former smokers, at 21.6%.

Figure 22. Former Smokers Among Macomb County


Table 25. Former Smokers Among



Macomb County Zip

Code Regions

Percent (%)

95% Confidence

Interval

Region 1 31.0 (25.2-37.6)

Region 2 21.7 (15.8-29.0)

Region 3 27.7 (21.9-34.2)

Region 4 25.2 (20.0-31.2)

Region 5 21.6 (16.9-27.1)

Region 6 25.7 (20.8-31.2)

Cigarette Smoking: Former Smoker

28

Key Points


surveyed, 48.7% stated they have never

smoked.


stated they have never smoked.


highest rate of individuals who have

never smoked, at 55.3%.


lowest rate of individuals who have never

smoked at 41.7%.

Figure 23. Never Smoked as Stated by Macomb County


Table 26. Never Smoked as Stated by



Macomb County Zip

Code Regions

Percent (%)

95% Confidence

Interval

Region 1 44.4 (38.0-51.0)

Region 2 47.3 (38.7-56.1)

Region 3 56.6 (49.2-63.7)

Region 4 41.7 (34.8-48.9)

Region 5 44.5 (37.5-51.8)

Region 6 55.3 (49.0-61.5)

Cigarette Smoking: Never Smoked

29

Figure 24. Macomb County Residents with Disability by Zip


Key Points


surveyed, 23.6% stated they have a

disability.


surveyed stated they have a disability.


highest rate of individuals with a

disability, at 29.6%.


lowest rate of individuals with a disability

at 18.5%.

Table 27. Macomb County Residents

with Disability by Zip Code Region,

2012-2014

Macomb County Zip

Code Regions

Percent (%)

95% Confidence

Interval

Region 1 24.2 (19.4-29.6)

Region 2 26.5 (19.7-34.5)

Region 3 19.5 (14.7-25.5)

Region 4 26.7 (21.1-33.3)

Region 5 29.6 (23.4-36.6)

Region 6 18.5 (14.4-23.4)

Disability

30

Figure 25. Healthy Weight Status Among Macomb County


Key Points


surveyed, 32.0% stated they are a

healthy weight.


surveyed stated they are a healthy

weight.


highest rate of healthy weight individuals,

at 35.9%.


lowest rate of healthy weight individuals,

at 25.5%.

Table 28. Healthy Weight Status Among


Region, 2012-2014

Macomb County

Zip Code Regions

Percent (%)

95% Confidence

Interval

Region 1 35.9 (29.7-42.7)

Region 2 25.5 (18.7-33.7)

Region 3 34.8 (27.8-42.6)

Region 4 28.3 (22.1-35.4)

Region 5 28.9 (22.6-36.3)

Region 6 31.7 (26.1-37.9)

Weight Status: Healthy Weight

31

Figure 26. Macomb County Residents that are Overweight by


Key Points


surveyed, 33.1% of individuals stated that

they are overweight.


stated that they are overweight.


highest rate of overweight individuals, at

37.1%.


lowest rate of overweight individuals, at

29.1%.

Table 29. Macomb County Residents

that are Overweight by Zip Code

Region, 2012-2014

Macomb County

Zip Code Regions

Percent (%)

95% Confidence

Interval

Region 1 30.5 (24.9-36.8)

Region 2 37.6 (29.6-46.3)

Region 3 34.8 (28.3-41.9)

Region 4 33.4 (27.1-40.4)

Region 5 32.3 (26.1-39.3)

Region 6 33.3 (27.6-39.5)

Weight Status: Overweight

32

Figure 27. Macomb County Residents that are Obese by


Key Points


surveyed, 33.1% stated that they are

obese.

In Michigan, 31.1% of individuals stated

that they are obese.


highest rate of obese individuals, at

34.8%.

Region 1 and 2 of Macomb County both

reported the lowest rate of obese

individuals at 30.5%.

Table 30. Macomb County Residents that

are Overweight by Zip Code Region,

2012-2014

Macomb County

Zip Code Regions

Percent (%)

95% Confidence

Interval

Region 1 33.4 (27.1-40.4)

Region 2 35.7 (27.1-45.3)

Region 3 29.1 (23.0-36.1)

Region 4 35.8 (29.3-42.7)

Region 5 37.1 (30.4-44.4)

Region 6 31.2 (25.9-37.2)

Weight Status: Obese

33

Fussman, C. 2015. Health Risk Behaviors within the State of Michigan: 2014 Behavioral Risk Factor Survey. 28th

Annual Report. Lansing, MI: Michigan Department of Health and Human Services, Lifecourse

Epidemiology and Genomics Division, Chronic Disease Epidemiology Section.

Fussman, C. 2015. Michigan Behavioral Risk Factor Survey: Health Indicator and Risk Estimates by Community

Health Assessment Regions & Local Health Departments, 2012-2014. Lansing, MI: Michigan Department

of Health and Human Services, Lifecourse Epidemiology and Genomics Division, Chronic Disease

Epidemiology Section.

References

Documents

A Snapshot of Macomb County’s Health Profile Extracted ... · Data was obtained in two ways. First, values for Michigan and Macomb County were extracted from the Michigan Behavioral