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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
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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?
*Somerset Co. is significantly different from the New Jersey and National BRFSS data.
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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
*Somerset Co. is significantly different from the National BRFSS data.
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Has a doctor or other healthcare provider EVER told you that you have a depressive disorder?
*Somerset Co. is significantly different from the National BRFSS data.
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Do you have any kind of health care coverage?
*Somerset Co. is significantly different from the National BRFSS data.
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?
*Somerset Co. is significantly different from the New Jersey and National BRFSS data.
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?
*Somerset Co. is significantly different from the New Jersey and National BRFSS data.
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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?
*Somerset Co. is significantly different from the New Jersey BRFSS data.
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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?
*Somerset Co. is significantly different from the New Jersey and National BRFSS data.
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For how many days during the past 30 days was your mental health not good?
*Somerset Co. is significantly different from the New Jersey BRFSS data.
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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 and National BRFSS data.
**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?
*Somerset Co. is significantly different from the New Jersey BRFSS data.
Males: 80%Females: 74.9%
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Body Mass Index (BMI)Frequency of responses
*Somerset Co. is significantly different from the New Jersey and National BRFSS data.
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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?
*Somerset Co. is significantly different from the New Jersey and National BRFSS data.
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Have you ever had a digital rectal exam?
*Somerset Co. is significantly different from the New Jersey and National BRFSS data.
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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.
*Somerset Co. is significantly different from the New Jersey BRFSS data.
Males: 5%Females: 3%
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Has a doctor, nurse or other health professional EVER told you that you had a stroke?
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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
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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