County Needs Assessment

By: Laydi Cisneros and Sarah Buckley

Purpose of the Project

• Information causes changes and empowerment

• Assist in how to improve county

• Can link health problem to causation

• Determines county’s strengths and weaknesses

Methods

• Healthy People 2020

• County Health Ranking

• Center for Disease Control

• Virginia Health Department

• Gloucester Virginia County website

• YMCA

• Riverside Wellness Center

• The Community Guide

Needs Assessment County

http://www.countyhealthrankings.org/sites/default/files/state/downloads/2016%20Health%20Outcomes%20-%20Virginia.png

Demographics

Demographic Characteristics of Gloucester County, VA 2016County State

Populations 37,141 8,326,289% below 18 yrs. old 20.5% 22.4%% 65 and older 17.5% 13.8%% Non-Hispanic African American

8.2% 19.0%

% American Indian Alaskan Native

0.5% 0.5%

%Asian 0.9% 6.3%% Native Hawaiian/Other Pacific Islander

0.0% 0.1%

% Hispanic 3.3% 8.9%% Non-Hispanic White 85.0% 63.1%% Not proficient in English

0% 3%

%Females 50.7% 50.8%%Rural 64.6% 24.5%http://www.countyhealthrankings.org/app/virginia/2016/rankings/gloucester/county/outcomes/overall/snapshot

Social and Economic Factors

http://www.countyhealthrankings.org/app/virginia/2016/rankings/gloucester/county/outcomes/overall/snapshot

38th out of 134

Description of the Problem

• Physical inactivity is at 24% • State physical inactivity is at 22% • Obesity level is at 33% in the county • State obesity is at 27%• Exercise opportunity in the county is at 57% • The exercise opportunity in Virginia is at 81%• Ranked 28th out of 134 in Health Factors

28th out of 134

http://www.countyhealthrankings.org/app/virginia/2016/rankings/gloucester/county/outcomes/overall/snapshot

What’s the Problem?

• Physical Inactivity• Used to identify people who do not reach

recommended physical activity daily

• Causes many different diseases from heart disease to stroke, colon cancer, and diabetes

• Can develop high blood pressure, high cholesterol, leads to obesity

• 300,000 deaths occur yearly due to physical inactivity

cdc.gov/physicalactivity/data/facts.htm

Barriers • Do not have time • Inconvenient• No motivation • Not enjoyable• Boring • Not confident in the

ability to exercise

• Fear of getting hurt, or previously injured

• Not good at setting person goals

• No encouragement from family and friends

• No parks, bike trails, and nice places to walk

http://www.cdc.gov/physicalactivity/basics/adding-pa/barriers.html

Who is at Risk?• 69% of preteens (age 12-13) are active • 38% of young adults (age 18-21) are active • Half of population (age12-21) are not active • One-third of adults are not active • One-fourth of adults report no leisure time

at all • Physical inactivity increases in adolescents cdc.gov/physicalactivity/data/facts.htm

Healthy People 2020: Goals and Objectives

• Goal: • Improve health fitness and quality of life through

daily physical activity

• Objectives: • Reduce the proportion of adults who engage in no

leisure time physical activity • Baseline: 36.2% in 2008 • Target: 32.6% in 2020

• Increase number of adolescents who meet federal physical activity guidelines • Baseline: 28.7% in 2011• Target: 31.6% in 2020

Healthypeople.gov/2020/topics-objectives/topic/physical-activity/objectives

Community Guide Interventions

• Creation or Enhanced Access to Place for Physical Activity Combined with Informational Outreach Activities (Recommended) • Joins forces with worksites, coalitions,

agencies, and communities to change environment to promote more physical activity

• The effects were considered multi-component factors

• Found that creation/enhancing facilities were effective in promoting physical activity thecommunityguide.org/findings/physical-activity-creation-or-enhanced-

access-places-physical-activity-combined

Community Guide Interventions

• Enhanced School-Based Physical Education • Change curriculum so that students grade K-

12 participate in moderate to vigorous physical activity for longer period of time

• Studies showed mixed results in effectiveness to no effect

• Sports activities replaced with vigorous activities

thecommunityguide.org/findings/physical-activity-enhanced-school-based-physical-education

Additional Interventions for Communities

• Community Fitness Programs • Programs offered in community settings such

spinning/indoor cycling, Zumba, pilates, yoga, Tai Chi

• Beneficial outcomes are increased physical activity, fitness, and mental health

• Evidence rating: • Organized fitness programs more appealing

to women and elderly than to men and young adults who more inclined towards sports activities

Countyhealthrankings.org/policies/community-fitness-programs

Health Promotion Intervention

• Beaverdam Park• Bicycle trails• Running trails• Accessible for canoe’s• Sidewalks

• Riverside Wellness & Fitness Center• Indoor pool and track• Tennis Courts• Group exercise classes• Yoga

• Cardio and strength training equipment

• YMCA• Boot camps• Cardio classes• Personal trainers• Pilates• Community classes like

self defense

- gloucestervirginia.info/ParksandRecreation/Parks/BeaverdamPark.aspx

- riversideonline.com/rwfc/middle_peninsula/index.cfm- Ymcagloco.org/content/pgmsclasses/health_wellness.asp

Community Resources and Barriers

Resources• Community centers

and parks

• Close distance to beach

•

Barriers• Insufficient amount of

sidewalks

• Lack of gyms

• Excessive distance from wellness centers

• Lack of running trails

• Lack of transportation to wellness center

Community Partnerships

• Implementing interventions• Community initiated exercise programs• Creating more sidewalks• Creating more playgrounds

• Agencies to help• Three Rivers health department• Gloucester Building and Grounds• Gloucester Parks and Recreation

Gloucestervirginia.info/Government/HowDoI/tabid/1104/Default.aspx

References