WALWORTH COUNTY COMMUNITY HEALTH SURVEY 2019

WALWORTH COUNTYCOMMUNITY HEALTH SURVEY – 2019

Commissioned By:

Aurora Health Care

Children’s Wisconsin

Mercy Health System

In Partnership With:

Center for Urban Population Health

Walworth County Division of Public Health

Prepared By:

JKV Research, LLC

1

Overview

• Objectives• Gather data on behavioral and lifestyle habits of the

adult population and household-level data. • Gather data on random child (17 or younger) in

household through adult who makes health care decisions for child.

• Gather data on the prevalence of risk factors and disease conditions of the adult population.

• Compare health data of residents to previous health studies.

• Compare health data to national and state measurements.

Walworth County Community Health Survey

2

Methodology

• 18 minute telephone survey of area residents• 400 completions from December 16, 2019 through January 22,

2020• Two-fold sampling

• 1) RDD landline sample of listed & unlisted #s (n=200)• Respondents randomly selected based on number of adults

in household• Weighting based on number of adults and number of

residential phone numbers in HH • 2) Cell phone only sample (n=200)

• Adult answering the phone designated as the respondent• All data post-stratified by age and gender of adult residents as of

2010 Census proportions.• Margin of error: ±5%


3

Demographics

4

Respondent Demographics

Percent

Gender

Male 48%

Female 50%

Nonbinary/Other/Not Sure 2%

Household Income

Bottom 40 Percent Bracket 28%

Middle 20 Percent Bracket 19%

Top 40 Percent Bracket 40%

Not Sure/No Answer 13%


5

Respondent Demographics (cont.)

Age Percent

18 to 34 30%

35 to 44 16%

45 to 54 19%

55 to 64 16%

65 and Older 19%


6

Respondent Demographics (cont.)

Percent

Education

High school or less 24%

Some post high school 34%

College graduate 41%

Marital Status

Married 61%


7

Health Care Coverage

8

Health Care Coverage

• Personally Not Covered Currently (18+)

• WI 2018: 10%• US 2018: 11%• HP2020 Goal: 0%

• Personally Not Covered Currently (18 to 64 Years Old)

• WI 2018: 11%• US 2018: 13%• HP2020 Goal: 0%

10%8%

12%

5% 5%

11% 10%

14%

6% 6%

14%

17%18%

8% 9%

16%

15%

19%

10% 11%

0%

20%

40%

60%

80%

2009 2011 2014 2016 2019

Personally Not Currently Covered (18 and Older)

Personally Not Currently Covered (18 to 64 Years Old)

Personally Not Covered in Past Year (18 and Older)

Someone in Household Not Covered in Past Year


9

Unmet Health Care in Past Year

• HH Member Not Taken Prescribed Medication Due to Cost

• HP2020 Goal: 3%

• Delayed/Did Not Seek Care Due to Cost

• WI 2018: 10%• US 2018: 12%

• Unmet Medical Care in Household

• HP2020 Goal: 4%

• Unmet Dental Care in Household

• HP2020 Goal: 5%

14%

11%

15%

13%7% 11%

12%

6%5%

20%23%

15%

4% 5% 3%0%

20%

40%

60%

80%

2011 2014 2016 2019

Someone in HH Not Taken Prescribed Medication Due to Cost

Delayed/Did Not Seek Care Due to Cost

Unmet Medical Care in Household*

Unmet Dental Care in Household*

Unmet Mental Health Care in Household*,**


10

*In 2011, 2014 and 2016, the question was asked of respondents only. In 2019, the question was asked about any household member.**In 2014, unmet mental health care was not asked.

Caregiver to Family/Friend with Health Problem or Disability (2019)


11

2019

Caregiver in Past Month 23%

Expect will be Caregiver in Next Two Years 34%

Health Information Source

55% 54%

7%5%

23%

31%

6% 3%0%

20%

40%

60%

80%

100%

2016 2019

Doctor

Myself/Family Member in Health Care Field

Internet

Other Health Professional

12Walworth County Community Health Survey

Health Services

90%85%

73%

79% 78% 79%

66%

7% 6% 6%9%

24%

1% 3%5% 4% 2%

1% 1%2% 1%

5% 4%

0% <1%

33% 31%

38% 36%40%

0%

20%

40%

60%

80%

100%

2009 2011 2014 2016 2019

Have Primary Care Physician

Doctor/Nurse Practitioner Office as

Primary Health Care Service

Urgent Care Center as Primary

Health Care Service

Hospital Emergency Room as


Hospital Outpatient Department as


Public Health Clinic/Community

Health Center as Primary Health

Care Service

Advance Care Plan


• Have Primary Care Physician

• WI 2018: 81%• US 2018: 77%• HP2020 Goal: 84%

General Health

14

Rate Own Health

• Excellent or Very Good Health

• WI 2018: 52%• US 2018: 51%

• Fair or Poor Health • WI 2018: 15%• US 2018: 17% 61%

49%46%

53%58%

8%

16% 17% 16% 17%

0%

20%

40%

60%

80%

100%

2009 2011 2014 2016 2019

Excellent or Very Good Health Fair or Poor Health


15

Routine Procedures

82% 82%78%

85% 85%

64%

71%74%

73%77%

65%

59% 59%

66%

72%

48% 50%

41% 42% 42%

0%

20%

40%

60%

80%

100%

2009 2011 2014 2016 2019

Routine Checkup (2 Years Ago or Less)

Cholesterol Test (4 Years Ago or Less)

Dental Checkup (Less Than 1 Year Ago)

Eye Exam (Less Than 1 Year Ago)


16

• Routine Checkup 2 Years Ago or Less

• WI 2018: 87%• US 2018: 88%

• Cholesterol Test 4 Year Ago or Less

• WI 2017: 83%• US 2017: 86%• HP2020 Goal: 82%

• Dental Checkup Less Than 1 Year Ago

• WI 2018: 71%• US 2018: 68%• HP2020 Goal: 49%

Vaccinations

• Pneumonia Vaccination (65 and Older)

• WI 2018: 75%• US 2018: 74%• HP2020 Goal: 90%

• Flu Vaccination (18 and Older)

• HP2020 Goal: 70%

• Flu Vaccination (65 and Older)

• WI 2018: 46%• US 2018: 55%

69% 68%

79% 81%

78%

30%34%

49%

38%

47%

64%

76%

69%

84%

0%

20%

40%

60%

80%

100%

2009 2011 2014 2016 2019

Pneumonia Vaccination (Ever, 65+)

Flu Vaccination (Past Year, 18+)

Flu Vaccination (Past Year, 65+)


17

Treated For or Told Have Health Conditions in Past 3 Years (2019)

10%

7%

9%

23%

24%

31%

0% 20% 40% 60% 80% 100%

Asthma (Current)

Heart/Disease

Condition

Diabetes

High Blood Cholesterol

Mental Health

Condition

High Blood Pressure


18

Treated For or Told Have Health Conditions in Past 3 Years

• Asthma (Current)• WI 2018: 9%• US 2018: 10%

24%

29%27% 26%

31%

10%19%

21% 22%

24%

19% 20%24% 23%

23%

5%

7%

5%

10% 9%

6%

7%

7% 7%

7%

11% 12%10%

0%

20%

40%

60%

80%

2009 2011 2014 2016 2019

High Blood Pressure Mental Health Condition High Blood Cholesterol

Diabetes Heart Disease/Condition Asthma (Current)


19

Condition Controlled Through Medication, Exercise, Therapy or Lifestyle Changes


20

2014 2016 2019

High Blood Pressure 98% 98% 99%

Mental Health Condition 95% 72% 93%

High Blood Cholesterol 88% 93% 96%

Diabetes100% 95% 84%

Heart Disease/Condition100% 89%

100%

Asthma (Current)100% 69%

100%

Exercise and Nutrition

21

Body Weight

• At Least Overweight (BMI 25.0+)

• WI 2018: 67%• US 2018: 66%• HP2020 Goal: 66%

• Obese (BMI 30.0+)• WI 2018: 32%• US 2018: 31%• HP2020 Goal: 31%

61%65% 64%

71% 70%

24%

31%36% 34%

40%

0%

20%

40%

60%

80%

100%

2009 2011 2014 2016 2019

At Least Overweight (BMI 25.0 or Higher)

Obese (BMI 30.0 or Higher)


22

Physical Activity

• Moderate Physical Activity

• WI 2005: 42%• US 2005: 33%

• Vigorous Physical Activity

• WI 2009: 31%• US 2009: 29%

• Recommended Moderate or Vigorous Activity

• WI 2009: 53%• US 2009: 51%

32% 42% 40%

41%

40%

28%24% 25%

40%

25%

45%48% 48%

57%

46%

0%

20%

40%

60%

80%

100%

2009 2011 2014 2016 2019

Moderate Activity (5x/30+Min/Week)

Vigorous Activity (3x/20+Min/Week)

Recommended Physical Activity (Mod or Vig)


23

Nutrition and Food Insecurity

• Fruit or Vegetables (5+ Servings/Day)

• WI 2009: 23%• US 2009: 23%

58% 59% 60%57%

61%

24%28%

23% 25% 25%

35% 35% 36% 33%36%

6%2%

0%

20%

40%

60%

80%

100%

2009 2011 2014 2016 2019

Fruit (At Least Two Servings/Day)

Vegetables (At Least Three Servings/Day)

Fruit/Vegetables (At Least Five Servings/Day)

Household Went Hungry Because They Couldn't Afford Enough Food (Past Year)


24

Early Detection and Prevention of Cancer

25

Women’s Health Tests

• Mammogram in Past 2 Years (50 – 74 years old)

• WI 2018: 78%• US 2018: 78%

• Pap Smear in Past 3 Years (18 and Older)

• WI 2018: 81%• US 2018: 80%

80%

73% 70%73%

75%74%

77%

87%

82%

76%

81% 83%

80% 74%

82%

61%48%

65%

82%

77%

89%

0%

20%

40%

60%

80%

100%

2009 2011 2014 2016 2019

Mammogram - Within Past 2 Yrs. (50 and Older)

Bone Density Scan - Ever (65 and Older)

Pap Smear - Within Past 3 Yrs. (18 to 65 Yrs. Old and With a Cervix)

HPV Test - Within Past 5 Yrs. (18 to 65 Yrs. Old and With a Cervix)

Met Cervical Cancer Screening Recommendation*


26

*Recommended time frame: pap smear every 3 years for ages 18 to 29 years old; pap smear and HPV test every 5 years or pap smear only every 3 years for ages 30 to 65 years old.

Colorectal Cancer Screenings(50 and Older)

• Blood Stool Test in Past Year (50-75 Years Old)

• WI 2018: 7%• US 2018: 9%

• Sigmoidoscopy in Past 5 Years (50-75 Years Old)

• WI 2018: 3%• US 2018: 2%

• Colonoscopy in Past 10 Years (50-75 Years Old)

• WI 2018: 71%• US 2018: 64%

• Screening in Recommended Time Frame (50-75 Years Old)

• WI 2018: 75%• US 2018: 70%• HP2020 Goal: 71%

66%65%

72% 70%

76%

65%68%

66%70%

7% 9% 6% 7% 5%

13% 12% 14%

0%

20%

40%

60%

80%

100%

2009 2011 2014 2016 2019

At Least One Test Within Recommended Time Frame*

Colonoscopy (Within Past 10 Years)

Sigmoidoscopy (Within Past 5 Years)

Blood Stool Test (Past Year)


27

*In 2009 and 2011, blood stool test was not asked.

Safety

28

Personal Safety Issues in Past Year

5%2%

4%5%

<1% 2%

10% 8%

2%4% 5%

0%

20%

40%

60%

80%

2009 2011 2014 2016 2019

Someone Made You Afraid for Your Personal Safety

Someone Pushed, Kicked, Slapped or Hit You

At Least 1 of the 2 Issues


29

Tobacco Use

30

Current Tobacco Cigarette Smokers or Current Electronic Vapers

• Current Smokers • WI 2018: 17%• US 2018: 16%• HP2020 Goal: 12%

• Current Vapers • WI 2017: 5%• US 2018: 4%

23%27% 25% 24%

13%

3%8%

3%

0%

20%

40%

60%

80%

100%

2009 2011 2014 2016 2019

Current Smoker Current Vaper


31

Smoking or Vaping Cessation in Past Year(Current Tobacco Smokers or Electronic Vapor Product Users)

• Tried to Quit (Smokers Only)• WI 2005: 49%• US 2005: 56%• HP2020 Goal: 80%

66%

75% 72%78%

68%

49%

58%

64%

51% 48%

0%

20%

40%

60%

80%

100%

2009 2011 2014 2016 2019

Health Care Professional Advised Respondent to Quit*

Quit Smoking or Vaping for At Least 1 Day*


32

*In 2019, tobacco cessation and health professional advised quitting included current smokers and current vapers. In previous years, both questions were asked of current smokers only.

Exposure to Cigarette Smoke or Electronic Vapor

• Smoking Not Allowed in Home

• Midwest 2014/15: 84%

• US 2014-2015: 87%

• Nonsmokers Exposed to Second-Hand Smoke

• HP2020 Goal: 34%

77% 80%82%

89%

82%

29%

18%20%

15%11%

0%

20%

40%

60%

80%

100%

2009 2011 2014 2016 2019

Smoking Not Allowed in Home

Nonsmokers/Nonvapers Exposed to Second-Hand

Smoke or Vapor (Past 7 Days)*


33

*In 2019, the question included nonvapers being exposed to vapors. In all other years, the question was asked of nonsmoking respondents only.

Other Tobacco Product Use in Past Month

• Smokeless Tobacco• WI 2018: 4%• US 2018: 4%• HP2020 Goal: 0.2%

6% 5%7%

4% 4% 3%0%

20%

40%

60%

80%

100%

2014 2016 2019

Smokeless Tobacco Cigars, Cigarillos or Little Cigars


34

Alcohol Use

35

Alcohol Use in Past Month

• Binge Drinker (Female 4+ Drinks; Male 5+ Drinks on an Occasion)

• WI 2018: 26%• US 2018: 16%• HP2020 Goal (5+

Drinks): 24%

24% 23%

17%

30%

37%

4% 4%1% 1% <1%

0%

20%

40%

60%

80%

100%

2009 2011 2014 2016 2019

Binge Drinking*

Driver/Passenger When Driver Perhaps Had Too Much to Drink


36

*In 2011, 2014, 2016 and 2019, “4 or more drinks on an occasion” for females and “5 or more drinks on an occasion” for males was used; in 2009, “5 or more drinks on an occasion” was used for both males and females.

Household Problems

37

Household Problems in Past Year


38

6% 6%

1%

4%2%

<1%

<1% 0%1%0%

10%

20%

30%

40%

50%

2009 2011 2014 2016 2019

Alcohol

Marijuana

Misuse of Prescription Drugs or Over-the-Counter Drugs

Cocaine, Heroin or Other Street Drugs

Gambling

Detectors in Household

39

Both Working Smoke and Carbon Monoxide Detectors in Household

56%

70%

76%80%

85%

0%

20%

40%

60%

80%

100%

2009 2011 2014 2016 2019


40

Human Trafficking

41

Human Trafficking (2019)


42

2019

Personally Know Someone Who Experienced Human Trafficking 2%

Mental Health Status

43

Mental Health Status

4%

9%

5%

8%

7%7% 6%

3%5% 4% 5% 3%

0%

20%

40%

60%

2009 2011 2014 2016 2019

Felt Sad, Blue, Depressed Always/Nearly Always (Past Month)

Find Meaning & Purpose in Daily Life Seldom/Never

Considered Suicide (Past Year)


44

Children In Household

45

Child’s Primary Doctor/Nurse[Child 17 or Younger]

99%

91%95%

96%

0%

20%

40%

60%

80%

100%

2016 2019

Child Has Primary Doctor/Nurse

Preventive Care with Child's Primary Doctor in Past

Year (Children who have a Primary Doctor/Nurse)


46

Child’s Unmet Care in Past Year[Child 17 or Younger]


47

3%

7%4%

0%<1%0%

20%

40%

60%

80%

2016 2019

Unmet Medical Care Unmet Dental Care Unmet Specialist Care

Child Currently Has Asthma[Child 17 or Younger]

3%

13%

0%

20%

40%

60%

80%

100%

2016 2019


48

Child is Seldom/Never Safe in Community/Neighborhood[17 or Younger]


49

0%3%

0%

20%

40%

60%

80%

100%

2016 2019

Childs’ Nutrition[Child 5 to 17 Years Old]

66% 67%

26%24%

30%

39%

0%

20%

40%

60%

80%

100%

2016 2019

Fruit (Two or More Servings/Day)

Vegetable (Three or More Servings/Day)

Fruit or Vegetable (Five or More Servings/Day)

Walworth County Community Health Survey 50

Child’s Physical Activity (60 Min./5x/Week)[Child 5 to 17 Years Old]

61%57%

0%

20%

40%

60%

80%

100%

2016 2019


51

Child’s Emotional Well-Being[Child 5 to 17 Years Old]*

1%6%

0%

20%

40%

60%

80%

100%

2016 2019

Unhappy, Sad or Depressed Always/Nearly Always (Past 6 Months)


52

*In 2016, the question was asked for children 8 to 17 years old.

Child Experienced Bullying in Past Year[5 to 17 Years Old]

14%

22%

13%

20%

1%3%

0%1%0%

20%

40%

60%

80%

100%

2016 2019

Bullied Overall Verbally Bullied Physically Bullied Cyber Bullied


53

*In 2016, the question was asked for children 8 to 17 years old.

Top County Health Issues

54

Top County Health IssuesUp to Three Accepted [Part 1]


55

26%

33%

19%

25%22%

17%16% 16%15% 14%

6%0%

20%

40%

60%

80%

2016 2019

Illegal Drug Use Access to Health Care

Alcohol Use or Abuse Chronic Diseases

Overweight or Obesity Prescription or Over-the-Counter Drug Abuse

Top County Health IssuesUp to Three Accepted [Part 2]


56

11%13%

10%10% 8%5%

4% 4%0%

20%

40%

60%

80%

2016 2019

Mental Health or Depression Affordable Health Care

Tobacco Use Access to Affordable Healthy Food

Cancer Infectious Diseases

Select Key Findings of Need

• 11% Someone in Household Not Covered by Health Insurance in Past Year

• 13% Delayed/Did Not Seek Care Due to Cost

• 13% Household Member Not Take Prescription Medication Due to Cost in Past Year vs. 3% HP2020

• 15% Unmet Dental Care in Household vs 5% HP2020

• 47% Flu Vaccination (18 and older) in Past Year vs. 70% HP2020

• 31% High Blood Pressure in Past 3 Years

• 24% Mental Health Condition in Past 3 Years

• 23% High Blood Cholesterol in Past 3 Years

• 40% Obese vs. 31% HP2020

• 7% Smokeless Tobacco Use in Past Month vs. 0.2% HP2020

• 37% Binged in Past Month (4+ drinks females; 5+ drinks males)

• 22% Children 5 to 17 Years Old Bullied Overall in Past Year

• 20% Children 5 to 17 Years Old Verbally Bullied in Past Year

• Top County Health Issues (Up to 3 Accepted): 33% Illegal Drug Use, 25% Access to Health Care, 17% Alcohol Use/Abuse


Next Steps

58

Documents

WALWORTH COUNTY COMMUNITY HEALTH SURVEY 2019