1 somerset county, new jersey 2011 community health needs assessment presentation of the results...

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Somerset County, New Jersey2011 Community Health Needs Assessment

Presentation of the Results

Presented By:Lisa McCracken

President, HolleranApril 17, 2012

Sponsored by:

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Methodology• A total of 2,059 residents of Somerset County were

interviewed to assess their health practices and health status.

• Of the 2,059, 31 were interviewed in-person via area clinics. The remainder were conducted over the telephone.

• This study is a follow-up to previous household telephone surveys conducted in 2006 and 2001/2002.

• In addition to overall county results, results were tabulate across three regions within the county.

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Survey Details• The questionnaire was largely comprised of survey

items from the CDC’s Behavioral Risk Factor Surveillance System Study (BRFSS).

• Additional custom questions were included.

• Questions from previous surveys were included as well in an attempt to track improvement or decline in health throughout the county.

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Areas Studied

• Health Status & Healthy Days• Access to Care• Mental Health• Sleep• Physical Exercise & Weight Control• Alcohol & Tobacco Use• Asthma• Diabetes• Oral Health• Immunizations• Women’s Health

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Areas Studied (cont.)

• Prostate Cancer Screening• Colorectal Cancer Screening• Family Planning• HIV/AIDS• Sexual Behavior• Hypertension & Cholesterol Awareness• Heart Attack, Cardiovascular Disease & Stroke • Social Determinants of Health• Caregiving• Reactions to Race• Emergency Preparedness

Who Did We Survey?

Demographics collected:– Gender– Age– Race & Ethnicity– Marital Status– Education Level– Income Level

– 61% female– Majority: 45-54 yrs old– 9.8% Hispanic/Latino– 8.2% African Amer.– 11.4% Asian– 79.2% White– 65.9% Married– 57.9% college

educated– 56.9% employed– 58.3% more than

$75K household income

Note: Statistical weighting

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Zip CodeZip Code Number of

RespondentsZip Code Number of

Respondents

08890 2 08553 4

08880 66 08540 113

08876 245 08504 1

08875 4 08502 91

08873 234 07978 0

08869 32 07977 2

08853 53 07938 0

08844 138 07934 6

08836 23 07931 17

08835 64 07924 38

08823 42 07921 52

08821 2 07920 140

08812 76 07069 23

08807 206 07063 24

08805 136 07060 136

08558 18 07059 65

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Greatest Areas of Favorable Health

• Improvement from previous years

• Healthier than New Jersey

• Healthier than Nationally

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How long has it been since you last visited a dentist or a dental clinic for any reason?

*Somerset Co. is significantly different from the New Jersey and National BRFSS data.

Cost is #1 reason for not seeing dentist in previous

year (up 8% from 2006 study)

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How long has it been since you had your teeth cleaned by a dentist or dental hygienist?


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How many days have you felt down, depressed or hopeless?

*Somerset Co. is significantly different from the National BRFSS data.

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How many days have you had little interest or pleasure in doing things?

Only those reporting days of either poor physical or mental health


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Has a doctor or other healthcare provider EVER told you that you have a depressive disorder?


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Do you have any kind of health care coverage?


Those with incomes > $75K annually are more likely to have health care coverage

compared to those with incomes <$75K

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Was there a time during the last 12 months when you needed to see a doctor but could not because of the cost?


Those with incomes > $75K annually are more likely to say “no” compared to those

with incomes <$75K

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Which statement best describes the rules about smoking inside your home?

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During the past 12 months, have you had a flu shot?


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Aside from Flu or Pneumonia, within the past 2 years, has a health professional talked to you about

adult immunization?

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Have you ever had a clinical breast exam?Only respondents age 40 and over

*Somerset Co. is significantly different from the New Jersey BRFSS data.

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Have you ever had a sigmoidoscopy or colonoscopy?


Have you ever had a blood stool test using a home kit?

21*Somerset Co. is significantly different from the New Jersey and National BRFSS data.

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Have you ever been tested for HIV?

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Which of these would you say was the main reason for your last HIV test?

Reason Somerset County

It was required 22.1%

It was done as a part of a routine medical check up 27.5%

You just wanted to find out whether you had HIV 19.5%

You were pregnant (females only) 15.2%

You were tested for some other reason 8.1%

You thought you may have gotten HIV through sex or drug use

2.3%

Someone suggested you should be tested 4.5%

You were worried that you could give HIV to someone 0.8%

Only respondents who have been tested for HIV

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Have you ever had your blood cholesterol checked?

Note: The ‘01 question was “Have you had your cholesterol checked within the past 5 years?”

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Has a doctor, nurse or other health professional EVER told you that you had angina or coronary

heart disease?

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Does your household have a disaster evacuation plan in case of a large-scale disaster or emergency

that requires evacuation?

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Greatest Areas of Unfavorable Health

• Decline from previous years

• Less healthy than New Jersey

• Less healthy than Nationally

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For how many days during the past 30 days was your physical health not good?


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For how many days during the past 30 days was your mental health not good?


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During the past 30 days, for about how many days have you felt you did not get enough rest or sleep?


**Somerset Co. is significantly different from the New Jersey BRFSS data.

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During the past month, did you participate in any physical activities or exercises?


Males: 80%Females: 74.9%

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Body Mass Index (BMI)Frequency of responses


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The Real Facts of BMI Roughly 145,800

adults in Somerset County are

overweight or obese.

An additional $89,037,260 annually in

healthcare expenses for obese residents in Somerset County

An additional $25,039,112 annually for

Somerset County residents who are

overweight

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BMI: A closer look

Obese Overweight

Yes, trying to lose wt 49.4% 54.9%

Not trying to lose wt 50.6% 45.1%

BMI Status by % now trying to lose weight

Obese Overweight

Males 21.3% 38.7%

Females 21.3% 38.9%

BMI Status by Gender

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BMI: A closer look

BMI Status by advice from doctor

Obese Overweight

Yes, doctor gave advice to lose weight 16.6% 17.4%

Yes, doctor gave advice to gain weight 1.4% 1.5%

Yes, doctor gave advice to maintain weight 3.1% 3.0%

No, doctor did not give advice to lose weight 78.9% 78.1%

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During the past 12 months, have you stopped smoking for one day or longer because you were

trying to quit smoking?Only respondents who smoke some days or every day

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In the past 12 months, on how many visits were you advised to quit smoking by a doctor, or other health provider?

Respondents who smoke some days or every day

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During the past 30 days, how many days per week or per month did you have at least one drink of any

alcoholic beverage?

Most Somerset Co. residents report consuming 1-2 drinks (binge drinking similar to NJ & US, but on the rise)

Males are more likely to drink on a regular basis than

females in the county

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Have you ever had a PSA test?


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Have you ever had a digital rectal exam?


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Do any of the following high risk situations apply to you?• You have used intravenous drugs in the past year.• You have been treated for a sexually transmitted or venereal

disease in the past year.• You have given or received money or drugs in exchange for sex in

the past year.• You had anal sex without a condom in the past year.


Males: 5%Females: 3%

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Has a doctor, nurse or other health professional EVER told you that you had a stroke?

During the past month, did you provide any such care or assistance to a friend or

family member?

43*Somerset Co. is significantly different from the National BRFSS data.

The largest proportion state they are taking care of

someone 65 years or older

What is his/her relationship to you?

44*Somerset Co. is significantly different from the National BRFSS data.

Cancer is #1 caregiving need; Alzheimer’s or

dementia is #2

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How well does your income meet your living expenses?

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Do you ever go without food to pay for other bills?

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Are you at risk of becoming homeless?

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Where do we go from here?• Key themes and issues will be evaluated further and

will be prioritized according to multiple considerations such as:– Severity– Scope of the issue– Ability to impact the issue

• Organizations are encouraged to use this information for:– Strategic planning purposes– Grant applications – Organization education & outreach

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Questions & Discussion

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