WALWORTH COUNTY COMMUNITY HEALTH SURVEY – January 2012

Aurora Health Care Walworth County Health Department

Center for Urban Population Health

Overview

• Objectives• Gather data on behavioral and lifestyle habits of

the adult population and household-level data. • 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.

Methodology

• 18 minute telephone survey of area residents• 400 completions from November 7, 2011 through November 28,

2011• Two-fold sampling

• 1) RDD landline sample of listed & unlisted #s (n=300)• 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=100)

• 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%

Demographics

Respondent Demographics

Percent

Gender

Male 50% Female 50%Household Income

Bottom 40 Percent Bracket

41%

Middle 20 Percent Bracket

14%

Top 40 Percent Bracket 30% Not sure/No answer 15%

Respondent Demographics (cont.)

Age Percent

18 to 34 30%

35 to 44 16%

45 to 54 20%

55 to 64 16%

65 and older 17%

Respondent Demographics (cont.)

Percent

Education

High school or less 33% Some post high school

40%

College graduate 27%Marital Status

Married 49%

Health Care Coverage

Health Care Coverage

• Personally not covered currently (18+) 2010

• WI: 11%• US: 15%

• Personally not covered currently (18 to 64 years old) 2010

• WI: 13%• US: 18%• HP2020 Goal: 0%

16%

15%

21%20%

8%10%10%9%

10%11%12%11% 14%

17%

0%

20%

40%

2003 2005 2009 2011

Someone in HH notcovered in past 12monthsPersonally notcurrently covered (allrespondents) Personally notcurrently covered (18to 64 years old)Personally notcovered in past 12months

Doctor or Nurse Practitioner’s Office as Primary Health Care Service

79%73%

82%

0%

20%

40%

60%

80%

100%

2005 2009 2011

Advance Care Plan1

35% 33% 31%34%

0%

20%

40%

60%

80%

100%

2003 2005 2009 2011

1“living will or health care power of attorney” added in 2005

General Health

Rate Own Health

2010• Excellent or Very

Good• WI: 57%• US: 55%

• Fair or Poor• WI: 14%• US: 15%

48%

16%

61%58%59%

8%8%

15%

0%

20%

40%

60%

80%

100%

2003 2005 2009 2011

Excellent/Very Good

Fair/Poor

Routine Procedures

• Routine checkup 2000• WI: 79%• US: 84%

• Cholesterol test 2010• WI: 77%• US: 77%• HP2020 Goal:

82%

• Dental checkup 2010• WI: 75%• US: 70%• HP2020 Goal:

49%

81% 82% 82% 82%

71%

64%

69%

65% 59%

65%

74%

48%46%49% 50%

20%

40%

60%

80%

100%

2003 2005 2009 2011

Routine checkup (2yrs. ago or less)

Cholesterol test (4yrs. ago or less)

Dental checkup (lessthan 1 yr. ago)

Eye exam (less than1 yr. ago)

Vaccinations

• Pneumonia vaccination (65+) 2010

• WI: 73%• US: 69%• HP2020 Goal: 90%

• Flu vaccination (18+) 2005

• WI: 32%• US: 27%• HP2020 Goal: 90%

• Flu vaccination (65+) 2010

• WI: 68%• US: 68%• HP2020 Goal: 90%

68%69%

52%

60%

34%30%30%

19%

64%

64%

43%

0%

20%

40%

60%

80%

100%

2003 2005 2009 2011

PneumoniaVaccination (Ever,65+)

Flu Vaccination (PastYear, 18+)*,**

Flu Vaccination (PastYear, 65+)*,**

*In 2005, “nasal spray” was added.**For a time in the 2004/2005 flu season there was a limited supply of flu vaccinations. During that period, it was only offered to persons in high-risk categories.

Health Conditions Past 3 Years (2011)

6%

7%

19%

20%

29%

6%

1%

4%

0% 10% 20% 30% 40% 50%

Stroke

Cancer

Asthma (Current)

Heart Disease/Condition

Diabetes

Mental Health Condition

High Blood Cholesterol

High Blood Pressure

Health Conditions Past 3 Years

24%

29%

15%

24%

20%

13%

19%15%

19%

10%

7%5%7%4%

0%

10%

20%

30%

40%

50%

2003 2005 2009 2011

High Blood Pressure

High Blood Cholesterol

Mental Health Condition

Diabetes

Health Conditions Past 3 Years

5% 6%7%

8%

7%

10%

6% 4%

<1%2% 2%

1%0%

10%

20%

30%

2003 2005 2009 2011

Heart Disease/Condition

Asthma (Current)

Cancer

Stroke

Alternative Treatments

Received Alternative Treatments Past 3 Years (2011)

7%

17%

23%

2%

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

Acupuncture

Aroma Therapy

Massage Therapy

Chiropractic Care

Received Alternative Treatments Past 3 Years

23%19%

22% 23%

17%18%

11%

16%

7%7%

2%4%

2%3%3%0%

10%

20%

30%

40%

50%

2003 2005 2009 2011

Chiropractic Care

Massage Therapy

Aroma Therapy*

Acupuncture

*In 2009, “using essential oils” was added to aroma therapy.

Exercise and Nutrition

Body Weight

• Overweight 2010• WI: 64% • US: 64% • HP2020 Goal: 66%

(overweight or obese)

65%61%

54%53%

0%

20%

40%

60%

80%

100%

2003 2005 2009 2011

Physical Activity1

• Recommended Moderate or Vigorous Activity 2009

• WI: 53%• US: 51%

• Moderate Activity 2005• WI: 42%• US: 33%

• Vigorous Activity 2009• WI: 31%• US: 29%

45% 48%

42%33%31% 32%

24%28%

0%

20%

40%

60%

80%

100%

2003 2005 2009 2011

RecommendedMod or VigActivity

ModerateActivity

VigorousActivity

1Moderate activity: 5 times a week for 30 or more minutes/timeVigorous activity: 3 times a week for 20 or more

minutes/time

Nutrition on an Average Day

60% 58% 59%

28%

69%

21%

36%

24%

0%

20%

40%

60%

80%

100%

2003 2005 2009 2011

Fruit Intake (Two ormore servings)

Vegetable Intake(Three or moreservings)

Early Detection and Prevention of Cancer

Women’s Health

• Pap Smear (18+) 2010• WI: 85%• US: 81%• HP2020 Goal (21+):

93%

• Mammogram (40+) 2010• WI: 79%• US: 76%

83%85%90%

81%78%

71%

73% 74%

77%

62%

74%

0%

20%

40%

60%

80%

100%

2003 2005 2009 2011

Pap Smear - withinpast 3 yrs. (18 to65 yrs. old)

Mammogram -within past 2 yrs.(40 and older)

Bone Density Scan(65 and older)

Men’s Health(40 and Older)

• PSA Test (40+) 2010• WI: 51%• US: 53%

42%46%

54%

26%36%

26%36%

0%

20%

40%

60%

80%

100%

2003 2005 2009 2011

P SA Test - within past2 years

Digital Rectal Exam -within past year

Colorectal Cancer (50 and Older)

• Sigmoidoscopy/ Colonoscopy in Lifetime

(50+) 2010• WI: 69%• US: 65%

68%

55%58%

69%

9%7%

65%65%

0%

20%

40%

60%

80%

100%

2003 2005 2009 2011

Sigmoidoscopyor Colonoscopy (ever)

Sigmoidoscopy(within past 5yrs.)

Colonoscopy(within past 10yrs.)

Safety

Always/Nearly Always Wore a Seat Belt or Helmet

• Adult Seat Belt Usage 2002• WI: 82%• US: 88%• HP2020 Goal: 92%

(observation)

89%85%

89%86%

27%29%32%21%

0%

20%

40%

60%

80%

100%

2003 2005 2009 2011

Seat Belt

Helmet

Detectors in Household (2011)

70%

71%

2%

97%

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

Neither Detector

Both Detectors

Carbon MonoxideDetector

Smoke Detector

Households That Have…

Both Working Smoke and Carbon Monoxide Detectors in Household

70%

56%53% 55%

0%

20%

40%

60%

80%

100%

2003 2005 2009 2011

Firearm Ownership and Storage Practices (All Households)

• Firearm in HH 2002• WI: 44%• US: 33%

• Loaded Firearm 2002• WI: 3%• US: 8%

• Loaded Firearm also Unlocked 2002

• WI: 2%• US: 4%

• Loaded Firearm also Unlocked of HH with Firearms 2002

• WI: 5%• US: 13%• Walworth County:

10% (2011)

30%

37%

29% 29%

3% 4%2% 2%

1% 1%2%

16%

11%

33%

26%

0%

20%

40%

60%

2003 2005 2009 2011

Firearm inHousehold

Loaded Firearm

Loaded andUnlocked Firearm

Handgun

Rifle or Shotgun

--Type of firearm not asked in 2003 and 2005

Personal Safety Issues (Past Year)

5%6%

5% 5%3%1%

8%10%

8%

0%

10%

20%

30%

40%

2003 2005 2009 2011

Someone made you afraidfor your personal safety

Someone pushed, kicked,slapped or hit you

At least 1 of the 2 issues

Cigarette Use

Current Smokers

• Current Smokers 2010• WI: 19%• US: 17%• HP2020 Goal: 12%

23%27%

25% 25%

0%

20%

40%

60%

80%

100%

2003 2005 2009 2011

Current Smokers

• Tried to Quit 2005• WI: 49%• US: 56%• HP2020 Goal: 80%

75%

66%70%

58%

42%43%49%

0%

20%

40%

60%

80%

100%

2003 2005 2009 2011

Health CareProfessional AdvisedRespondent to Quit

Quit Smoking for 1Day or Longer

Smoking Policies

Smoking Policy Inside Home and at Work (2011)

Home Work

Not allowed anywhere 80% 82%

Allowed in some places or at some times

9% 11%

Allowed anywhere 2% <1%

No rules about smoking 9% 5%

Not sure 0% 1%

Smoking Prohibited at Home 2003

• WI: 75%

Smoke-free Policy at Indoor Worksite 2003

• WI: 75%• HP2020 Goal: 100%

Smoking Policy Inside Home and at Work

80%

77%82%

0%

20%

40%

60%

80%

100%

2009 2011

Smoking NotAllowed at Home

Smoking NotAllowed at Work

Exposure to Second-Hand Smoke in Past 7 Days (Nonsmokers) (2011)

Percent

Zero days 82%

One to three days 13%

Four to seven days 5%

Nonsmokers Exposed to Second-Hand Smoke• HP2020 Goal: 34%

Exposure to Second-Hand Smoke in Past 7 Days (Nonsmokers)

6% 5%

0%

20%

40%

60%

80%

100%

2009 2011

Alcohol Use

Heavy and Binge Drinking in Past Month

• Binge Drinking 2010• WI: 22%• US: 15%• HP2020 Goal: 24%

• Heavy Drinking 2010• WI: 6%• US: 5%

23%24%23%

15%

9%7% 8% 8%

0%

20%

40%

60%

2003 2005 2009 2011

BingeDrinking*

HeavyDrinking**

*In 2003, “4 or more drinks” for females and “5 or more” for males was used; in all other years, “5 or more drinks” was used for both males and females. **Heavy drinking is defined as 61 or more drinks for males and 31 or more drinks for females.

Alcohol Related Issues

4%4%3%2%

6%6%7%

0%

20%

40%

60%

2003 2005 2009 2011

Driven or ridden whendriver had too much todrink (past month)

Household problemassociated with alcohol(past year)

Mental Health Status

Mental Health Status

4%

9%

4%7%

5%3%2%2%

7%4%

5%

0%

10%

20%

30%

2003 2005 2009 2011

Felt sad, blue ordepressed always/nearlyalways (past 30 days)

Considered suicide (pastyear)

Find meaning &purpose in daily lifeseldom/never

Additional Health Department Questions

Did Not Receive Medical Care, Dental Care or Mental Health Care Needed in Past Year

Percent

Medical Care 7%

Dental Care 5%

Mental Health Care 4%

Community Environmental Issues(Major/Moderate)

10%

9% 8%

10%

7% 7%

0%

10%

20%

30%

2009 2011

Safe DrinkingWater

Clean Drinking andRecreational Water

Food Safety inStores andRestaurants

Select Key Findings of Need

• 10% not covered by some form of health care coverage (currently, 18 – 64 y.o.) vs. 0% HP2020

• 71% cholesterol test (4 yrs. ago or less) vs. 82% HP2020• 68% pneumonia vaccination (Ever, 65+) vs. 90% HP2020• 64% flu shot (past year, 65+) vs. 90% HP2020• 34% flu shot (past year, 18+) vs. 90% HP2020• 83% pap smear (past 3 years, 18 – 65 y.o.) vs. 93% HP2020• 27% adult helmet usage• 27% current smokers vs. 12% HP2020• 58% tried to quit smoking past year vs. 80% HP2020• 82% smoke-free policy at indoor worksite vs. 100% HP2020

Report Available at…

•www.aurora.org/commhealth•www.co.walworth.wi.us

Next Steps