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The Health of Calumet County
Community Health Assessment
October 25, 2012
Provide an overview of the health of the community
Look for opportunities for improvement
Age
Race/Ethnicity
English proficiency
Geography
Population
Percent of population below 18 and 65 +
Calumet and Wisconsin (2011)
Calumet County Wisconsin
% of population
below age 18: 26.6% 23.2%
% of population
age 65 and over: 11.6% 13.9%
Source: County Health Rankings/US Census
Race of Residents
Calumet County and Wisconsin (2011)
Calumet County Wisconsin
White Persons 95.7% 88.4%
Black persons 0.6% 6.5%
American Indian and Alaska Native persons 0.5% 1.1%
Asian persons 2.1% 2.4%
Native Hawaiian and Other Pacific Islander persons < 0.5% < 0.5%
Persons reporting two or more races 1.1% 1.6%
Persons of Hispanic or Latino Origin 3.6% 6.1%
White persons, not Hispanic 92.3% 83.1%
Source: County Health Rankings/US Census
What Makes a Community Healthy?
Mortality: Premature Death
Years of potential life lost before age 75 per 100,000 population (age-adjusted)
Calumet County and Wisconsin (2012)
Calumet County Wisconsin
4,988 6,124
Morbidity: Quality of Life
Physical Health
Mental Health
Percent of adults self-reporting poor or fair health
(age-adjusted)
Calumet County and Wisconsin (2004-2010)
Calumet County Wisconsin
(4th quartile)
14% 12%
Source: County Health Rankings/BRFSS
Average number of physically unhealthy days self-reported in adults in past 30 days (age-adjusted)
Calumet County and Wisconsin (2004-2010)
Calumet County Wisconsin
(2nd quartile)
3.2 3.3
Source: County Health Rankings/BRFSS
Average number of mentally unhealthy days reported in past 30 days (age-adjusted)
Calumet County and Wisconsin (2004-2010)
Calumet County Wisconsin
(1ST quartile)
2.6 3.0
Source: County Health Rankings/BRFSS
Healthy Days – Mental HealthLocal - State Comparison
13* 2007 and 2003 Not asked locally
Healthy Days Effect
Health Behaviors
Tobacco Use
Physical Activity & Nutrition
Alcohol & Drug Use
Percent of adults self-reporting smoking > 100 cigarettes in their lifetime and currently smoking (every day or most
days)
Calumet County and Wisconsin (2004-2010)
Calumet CountyWisconsin
(1st quartile)
15% 20%
Source: County Health Rankings/BRFSS
Regular physical activity in adults can lower the risk of: Early death Coronary heart disease Stroke High blood pressure Type 2 diabetes Breast and colon
cancer Falls Depressions
Physical activity in children and adolescents can: Improve bone health Improve cardio-
respiratory & muscular fitness
Decrease levels of body fat
Reduce symptoms of depression
Healthy diet reduces risk of: Overweight/obesity Malnutrition Anemia Heart disease High blood pressure Type 2 diabetes Osteoporosis Oral disease Diverticular disease Some cancers
At healthy weight less likely to: Have complications during
pregnancy Die at earlier age
Good nutrition in children important: To healthy growth &
development To maintaining appropriate
weight
Percent of adults (age 20 +) with BMI > 30
Calumet County and Wisconsin (2009)
Calumet County Wisconsin
(3rd quartile)
31% 29%
Source: County Health Rankings/BRFSS
Body Mass Index
Body Mass Index - Age
Percent of adults with no physical activity
Calumet County and Wisconsin (2009)
Calumet County Wisconsin
(1st quartile)
19% 23%
Source: County Health Rankings/BRFSS
Vigorous Exercise
Estimated 22 million people per year in the US have drug and alcohol problems
Can lead to: Fetal alcohol spectrum
disorder Alcohol and drug
dependencies Liver, brain, and heart
disease
Contributes to costly physical, mental and public health problems including: Teenage pregnancy HIV/AIDS and other
STDs Domestic violence Child abuse Motor vehicle crashes Physical fights Crime Homicide Suicide
Percent of the adult population that reports either
binge drinking or heavy drinking
Calumet County and Wisconsin (2004-2010)
Calumet County Wisconsin
(4th quartile)
33% 24%
Source: County Health Rankings/BRFSS
Alcohol – 5 or More Drinks
Drinking and Driving
Social and Economic Factors
Education
Employment
Income
Years of formal education are correlated strongly with:
Improved work and economic opportunities Access to health care (through work situation) More stability during variations in the job market
Reduced psychosocial stress; a greater sense of personal control
Healthier lifestyles
Multi-generational health affects: Education of parents affects the health of their children
Percent of 9th grade cohort that graduates in four years
Calumet County and Wisconsin (2008-2009)
Calumet County Wisconsin
(1st quartile)
92% 86%
Source: County Health Rankings/WI Department of Public Instruction
Percent of adults age 25-44 with some college or associate’s degree
Calumet County and Wisconsin (2006-2010)
Calumet County Wisconsin
(1st quartile)
69% 63%
Source: County Health Rankings/US Census
Unemployment:
Increases unhealthy behaviors: alcohol and tobacco use, diet, exercise
May lead to physical illness and even death (especially by suicide)
May mean less access to health care (because insurance is often tied to employment)
Percent of population age 16+ unemployed but seeking work
Calumet County and Wisconsin (2010)
Calumet County Wisconsin
(1st quartile)
6.7% 8.3%
Source: County Health Rankings/Bureau of Labor Statistics
Poverty leads to increased risk of:DeathVariety of medical conditions and disease
incidenceDepression Intimate partner violencePoor health behaviors
Children are affected more than any age in:Accidental injuryLack of health care access.
Percent of children under 18 living below the Federal Poverty Line (FPL)
Calumet County and Wisconsin (2010)
Calumet County Wisconsin
(1st quartile)
8% 19%
Source: County Health Rankings/US Census
Physical Environment
Built Environment
Environmental Quality
Percent of population in poverty that also are far from a grocery store (10 miles rural/one mile urban)
Calumet County and Wisconsin (2006)
Calumet County Wisconsin
(3rd quartile)
7% 6%
Source: County Health Rankings/USDA
Proportion of all restaurants in the county that are fast food restaurants
Calumet County and Wisconsin (2009)
Calumet County Wisconsin
(3rd quartile)
38% 41%
Source: County Health Rankings/US Census
Slide presentation adapted from:Slide presentation adapted from:
The Health of the Community: Community Health Assessment Presentation
v 1.0
6/2012
[Final Version due Spring 2014]
Wisconsin CHIPP Infrastructure Improvement Project
http://www.walhdab.org/CHIPPInfrastructure.htm