Oregon County Health Rankings Report

7/29/2019 Oregon County Health Rankings Report

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2013

Rankings

Oregon


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County Health Rankings 2013: Oregon

www.countyhealthrankings.org/oregon 1

IntroductionWherewelivematterstoourhealth.Thehealthofacommunitydependsonmanydifferentfactors,includingtheenvironment,educationandjobs,accesstoandqualityofhealthcare,andindividualbehaviors.Wecanimproveacommunityshealthbyimplementingeffectivepoliciesandprograms.Forexample,people

wholive

in

communities

with

smoke

free

laws

arelesslikelytosmokeortobeexposedtosecondhandsmoke,whichreduceslungcancerrisk.Inaddition,peoplewholiveincommunitieswithsafeandaccessibleparkandrecreationspacearemorelikelytoexercise,whichreducesheartdiseaserisk.

However,healthvariesgreatlyacrosscommunities,withsomeplacesbeingmuchhealthierthanothers.And,untilnow,therehasbeennostandardmethodtoillustratewhatweknowaboutwhatmakespeoplesickorhealthyor

acentral

resource

to

identify

what

we

can

do

tocreatehealthierplacestolive,learn,workandplay.

Weknowthatmuchofwhatinfluencesourhealthhappensoutsideofthedoctorsofficeinourschools,workplacesandneighborhoods.TheCountyHealthRankings&Roadmapsprogramprovidesinformationontheoverallhealthofyourcommunityandprovidesthetoolsnecessarytocreatecommunitybased,evidenceinformedsolutions.Rankingthe

healthof

nearly

every

county

across

the

nation,

theCountyHealthRankingsillustratewhatweknowwhenitcomestowhatismakingcommunitiessickorhealthy.TheCountyHealthRoadmapsshowwhatwecandotocreatehealthierplacestolive,learn,workandplay.TheRobertWoodJohnsonFoundationcollaborateswiththeUniversityofWisconsin

PopulationHealthInstitutetobringthisgroundbreakingprogramtocountiesandstatesacrossthenation.

TheCountyHealthRankings&RoadmapsprogramincludestheCountyHealthRankingsproject,launchedin2010,andthenewer

Roadmapsproject

that

mobilizes

local

communities,nationalpartnersandleadersacrossallsectorstoimprovehealth.Theprogramisbasedonthismodelofpopulationhealthimprovement:

Inthismodel,healthoutcomesaremeasuresthatdescribethecurrenthealthstatusofacounty.Thesehealthoutcomesareinfluencedbyasetofhealthfactors.Countiescanimprovehealthoutcomesbyaddressingallhealth

factorswith

effective,

evidence

informed

policiesandprograms.

Everyonehasastakeincommunityhealth.Weallneedtoworktogethertofindsolutions.TheCountyHealthRankings&Roadmapsserveasbothacalltoactionandaneededtoolinthiseffort.

GuidetoOurWebSiteTocompiletheRankings,weselectedmeasuresthatreflectimportantaspectsofpopulation

healththat

can

be

improved

and

are

available

atthecountylevelacrossthenation.Visitwww.countyhealthrankings.orgtolearnmore.

Togetstartedandseedata,enteryourcountyorstatenameinthesearchbox.Clickonthenameofacountyormeasuretoseemoredetails.Youcan:CompareCounties;Downloaddataforyourstate;Printoneormorecounty

snapshots;orShareinformationwithothersviaFacebook,Twitter,orGoogle+.Tounderstandourmethods,clickonLearnabouttheDataand

Methods.You

can

also

take

advantage

of

the

UsingtheRankingsDataguidetohelpyouexplorethedataandfigureoutmoreaboutwhatisdrivingyourcommunityshealth.Tolearnaboutwhatyoucandotoimprovehealthinyourcommunity,visittheRoadmapstoHealthActionCenter. Finally,youcanlearnwhatothersaredoingbyreadingCommunitiesStoriesandvisitingtheProjectShowcase.


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2 www.countyhealthrankings.org/oregon

CountyHealthRoadmapsTheRankingsillustratewhatweknowwhenitcomestomakingpeoplesickorhealthy.TheCountyHealthRankingsconfirmthecriticalrolethatfactorssuchaseducation,jobs,incomeandtheenvironmentplayinhowhealthypeopleareandhowlongwelive.

TheCountyHealthRoadmapsmobilizeslocalcommunities,

national

partners

and

leaders

acrossallsectorstoimprovehealth.TheCountyHealthRoadmapsshowwhatwecandotocreatehealthierplacestolive,learn,workandplay.TheRobertWoodJohnsonFoundation(RWJF)collaborateswiththeUniversityofWisconsinPopulationHealthInstitute(UWPHI)tobringthisgroundbreakingprojecttocities,countiesandstatesacrossthenation.

TheRoadmapsprojectincludesgrantstolocalcoalitionsandpartnershipsamong

policymakers,business,

education,

public

health,healthcare,andcommunityorganizations;grantstonationalorganizationsworkingtoimprovehealth;recognitionofcommunitieswhosepromisingeffortshaveledtobetterhealth;andcustomizedguidanceonstrategiestoimprovehealth.

RoadmapstoHealthCommunityGrantsTheRoadmapstoHealthCommunityGrantsprovidefundingfor2yearstothirtystateandlocaleffortsamongpolicymakers,business,education,healthcare,publichealthand

communityorganizations

working

to

create

positivepolicyorsystemschangesthataddressthesocialandeconomicfactorsthatinfluencethehealthofpeopleintheircommunity.

RoadmapstoHealthPartnerGrantsRWJFisawardingRoadmapstoHealthPartnerGrantstonationalorganizationsthatareexperiencedatengaginglocalpartnersandleadersandareabletodeliverhighqualitytrainingandtechnicalassistance,andcommittedtomakingcommunitieshealthierplacestolive,learn,workandplay.Partner

granteesincrease

awareness

about

the

County

HealthRankings&Roadmapstotheirmembers,affiliatesandallies. AsofFebruary2013,RWJFhasawardedpartnergrantstoUnitedWayWorldwide,NationalBusinessCoalitiononHealth,andNationalAssociationofCounties.

RWJFRoadmapstoHealthPrizeInFebruary2013,RWJFawardedthefirstRWJFRoadmapstoHealthPrizesof$25,000tosixcommunitiesthatareworkingtobecomehealthierplacestolive,learn,workandplay.TheRWJFRoadmapstoHealthPrizeisintendednotonlytohonorsuccessfulefforts,butalsotoinspireandstimulatesimilaractivitiesinother

U.S.communities.

RoadmapstoHealthActionCenterTheRoadmapstoHealthActionCenter,basedat

UWPHI,

provides

tools

and

guidance

to

help

groupsworkingtomaketheircommunitieshealthierplaces.TheActionCenterwebsiteprovidesguidanceondevelopingstrategiesandadvocacyeffortstoadvanceprohealthpolicies,opportunitiesforongoinglearning,andasearchabledatabaseofevidenceinformedpoliciesandprogramsfocusedonhealthimprovement:WhatWorksforHealth.ActionCenterstaffprovidecustomizedconsultationviaemailandtelephonetothoseseekingmoreinformationabouthowtoimprovehealth.Coaching,includingpossibleonsitevisits,is

alsoavailable

for

communities

who

have

demonstratedthewillingnessandcapacitytoaddressfactorsthatweknowinfluencehowhealthyapersonis,suchaseducation,incomeandfamilyconnectedness.


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CountyHealthRankingsThe2013CountyHealthRankingsreportranksOregoncountiesaccordingtotheirsummarymeasuresofhealthoutcomesandhealthfactors.Countiesalsoreceivearankformortality,morbidity,healthbehaviors,clinicalcare,socialandeconomicfactors,andthephysicalenvironment.Thefigurebelowdepictsthe

structure

of

the

Rankings

model;

those

havinghighranks(e.g.,1or2)areestimatedtobethehealthiest.

Oursummaryhealthoutcomesrankingsarebasedonanequalweightingofmortalityandmorbiditymeasures.Thesummaryhealthfactorsrankingsarebasedonweightedscoresoffourtypesoffactors:behavioral,clinical,socialandeconomic,andenvironmental.Theweightsforthefactors(showninparenthesesinthe

figure)

are

based

upon

areview

of

the

literatureandexpertinput,butrepresentjustonewayofcombiningthesefactors.


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ThemapsonthispageandthenextdisplayOregons

countiesdividedintogroupsbyhealthrank.Maps

helplocatethehealthiestandleasthealthycounties

inthestate.Thelightercolorsindicatebetter

performanceintherespectivesummaryrankings.

Thegreenmapshowsthedistributionofsummary

healthoutcomes.Thebluedisplaysthedistribution

ofthesummaryrankforhealthfactors.

H E A L T H O U T C O M E S

County Rank County Rank County Rank County RankBaker 33 Douglas 30 Lake 22 Sherman NR

Benton 2 Gilliam NR Lane 17 Tillamook 25

Clackamas 5 Grant 1 Lincoln 24 Umatilla 27

Clatsop 12 Harney 20 Linn 23 Union 21

Columbia 19 HoodRiver 3 Malheur 10 Wallowa 18

Coos 28 Jackson 13 Marion 14 Wasco 11

Crook 8 Jefferson 32 Morrow 16 Washington 4

Curry 26 Josephine 29 Multnomah 15 Wheeler NR

Deschutes 7 Klamath 31 Polk 9 Yamhill 6


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H E A L T H F A C T O R S

County Rank County Rank County Rank County RankBaker 17 Douglas 28 Lake 29 Sherman NR

Benton 1 Gilliam NR Lane 10 Tillamook 14

Clackamas 4 Grant 18 Lincoln 23 Umatilla 31

Clatsop 15 Harney 19 Linn 22 Union 7

Columbia 12 HoodRiver 2 Malheur 32 Wallowa 8

Coos 30 Jackson 13 Marion 20 Wasco 16

Crook 27 Jefferson 33 Morrow 25 Washington 3

Curry 24 Josephine 21 Multnomah 9 Wheeler NR

Deschutes 5 Klamath 26 Polk 6 Yamhill 11


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County Health Rankings2013: Oregon


SummaryHealthOutcomes&HealthFactorsRankingsCountiesreceivetwosummaryranks:

HealthOutcomes HealthFactors

Eachoftheseranksrepresentsaweightedsummary

ofanumberofmeasures.

Healthoutcomesrepresenthowhealthyacountyis

whilehealthfactorsrepresentwhatinfluencesthe

healthofthecounty.

Rank HealthOutcomes Rank HealthFactors1 Grant 1 Benton

2 Benton 2 HoodRiver

3 HoodRiver 3 Washington

4 Washington 4 Clackamas

5 Clackamas 5 Deschutes

6 Yamhill 6 Polk

7 Deschutes 7 Union

8 Crook 8 Wallowa

9 Polk 9 Multnomah

10 Malheur 10 Lane

11 Wasco 11 Yamhill

12 Clatsop 12 Columbia

13 Jackson 13 Jackson

14 Marion 14 Tillamook

15 Multnomah 15 Clatsop

16 Morrow 16 Wasco

17 Lane 17 Baker

18 Wallowa 18 Grant

19 Columbia 19 Harney

20 Harney 20 Marion

21 Union 21 Josephine

22 Lake 22 Linn

23

Linn

23

Lincoln

24 Lincoln 24 Curry

25 Tillamook 25 Morrow

26 Curry 26 Klamath

27 Umatilla 27 Crook

28 Coos 28 Douglas

29 Josephine 29 Lake

30 Douglas 30 Coos

31 Klamath 31 Umatilla

32 Jefferson 32 Malheur

33 Baker 33 Jefferson

NotRanked: Gilliam,Sherman,Wheeler


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2013CountyHealthRankings:Measures,DataSources,andYearsofDataMeasure DataSource YearsofData

HEALTHOUTCOMESMortality Prematuredeath NationalCenterforHealthStatistics 20082010Morbidity Poororfairhealth BehavioralRiskFactorSurveillanceSystem 20052011

Poorphysicalhealthdays BehavioralRiskFactorSurveillanceSystem 20052011

Poormental

health

days

Behavioral

Risk

Factor

Surveillance

System

2005

2011

Lowbirthweight NationalCenterforHealthStatistics 20042010

HEALTHFACTORSHEALTHBEHAVIORSTobaccoUse Adultsmoking BehavioralRiskFactorSurveillanceSystem 20052011DietandExercise Adultobesity

Physicalinactivity

NationalCenterforChronicDiseasePrevention

andHealthPromotion

NationalCenterforChronicDiseasePrevention

andHealthPromotion

2009

2009

AlcoholUse Excessivedrinking BehavioralRiskFactorSurveillanceSystem 20052011Motorvehiclecrashdeathrate NationalCenterforHealthStatistics 20042010

SexualActivity Sexuallytransmittedinfections NationalCenterforHIV/AIDS,ViralHepatitis,STD,andTBprevention

2010

Teenbirthrate NationalCenterforHealthStatistics 20042010

CLINICALCAREAccesstoCare Uninsured SmallAreaHealthInsuranceEstimates 2010

Primarycarephysicians HRSAAreaResourceFile 20112012

Dentists HRSAAreaResourceFile 20112012

QualityofCare Preventablehospitalstays Medicare/DartmouthInstitute 2010Diabeticscreening Medicare/DartmouthInstitute 2010

Mammographyscreening Medicare/DartmouthInstitute 2010

SOCIALANDECONOMICFACTORSEducation Highschoolgraduation Primarilystatespecificsources,supplemented

withNationalCenterforEducationStatistics

Statespecific

Somecollege AmericanCommunitySurvey 20072011

Employment Unemployment BureauofLaborStatistics 2011Income Childreninpoverty SmallAreaIncomeandPovertyEstimates 2011FamilyandSocialSupport Inadequatesocialsupport BehavioralRiskFactorSurveillanceSystem 20052010

Childreninsingleparenthouseholds AmericanCommunitySurvey 20072011

CommunitySafety Violentcrimerate FederalBureauofInvestigation 20082010PHYSICALENVIRONMENTEnvironmentalQuality Dailyfineparticulatematter

1

CDC

WONDER

Environmental

data

2008

Drinkingwatersafety SafeDrinkingWaterInformationSystem FY2012

BuiltEnvironment Accesstorecreationalfacilities CensusCountyBusinessPatterns 2010Limitedaccesstohealthyfoods

USDAFoodEnvironmentAtlas 2012

Fastfoodrestaurants CensusCountyBusinessPatterns 2010

1Not available for AK and HI.


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County Health Rankings2013: Oregon


CREDITS

ReportAuthorsUniversityofWisconsinMadison

SchoolofMedicineandPublicHealth

DepartmentofPopulationHealthSciences

PopulationHealthInstitute

BridgetBooskeCatlin,PhD,MHSA

AmandaJovaag,MS

PatrickRemington,MD,MPH

Thispublicationwouldnothavebeenpossiblewithoutthefollowingcontributions:

DataCentersforDiseaseControlandPrevention:NationalCenterforHealthStatisticsandDivisionofBehavioral

Surveillance

DartmouthInstitute

for

Health

Policy

&

Clinical

Practice

ResearchAssistanceJenniferBuechner

HyojunPark,MA

ElizabethPollock

JenniferRobinson

MatthewRodock,MPH

AnneRoubal,MS

CommunicationsandOutreachBurnessCommunications

AnnaGraupner,MPH

KateKonkle,MPH

KarenOdegaard,MPH

JanONeill,MPA

AngelaRussell,MS

JulieWillemsVanDijk,PhD,RN

DesignForumOne,Alexandria,VA

RobertWoodJohnsonFoundationAbbeyCofsky,MPHSeniorProgramOfficer

MichelleLarkin,JD,MS,RNAssistantVicePresidentandDeputyDirector,HealthGroup

JamesS.

Marks,

MD,

MPH

Senior

Vice

President

and

Group

Director,

Health

Group

JoeMarxSeniorCommunicationsOfficer

Suggestedcitation:UniversityofWisconsinPopulationHealthInstitute.CountyHealthRankings2013.


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UniversityofWisconsinPopulationHealthInstitute610WalnutSt,#524,Madison,WI53726

(608)2656370/[email protected]

Documents

Oregon County Health Rankings Report