LiveWell Columbia Project Community Assessment Snapshot

Transcription

1 LiveWell Columbia Project Community Assessment Snapshot Jackie Belton is a successful patient in the diabetes prevention program at Palmetto Health and enjoys her healthy lifestyle of nutrition and exercise.

2 Let s create a healthier community. Palmetto Health is involved in the LiveWell Columbia Project to improve the health and the well-being of our community. Together, with our partners, we are developing new ways to address diabetes, obesity and related health issues. From July through October 2013, Palmetto Health administered assessments to the ZIP code neighborhoods and received 1,542 responses. These residents were from different backgrounds, family types, and age groups. Palmetto Health is working with community members to develop a creative and collaborative plan with unique elements. Together, we can. It is essential to learn as much about a community s readiness and capacity to change before committing valuable energy and resources. The information shared in this assessment will help set the direction for action and help Palmetto Health and our partners know where and how to start in the community. We will use this information to meet the following objectives: 1. Understand options and approaches for addressing community challenges. 2. Increase awareness and knowledge of local and national resources to help create healthier communities. 3. Introduce sustainability as an outcome to be addressed throughout our community change initiatives. Within the neighborhoods, we plan to meet these objectives through the development of a collaborative and creative plan.

3 Of those completing the assessment, the majority were female and African-American, with about 63 percent age 55 or older. The average household size was more than two people and, for those with children in the home, the average household size was four people, with two children per home. About onethird of respondents are married with 23 percent single, 26 percent divorced or separated and 19 percent widowed. Nearly 50 percent of respondents report income at $25,000 or less, and 18 percent are currently unemployed. Thirty percent of respondents work full-time and 44 percent are retired. There were 24 percent of respondents with a high school diploma or GED, and more than 40 percent of those surveyed have received an associate s degree or higher. For additional demographics, please see the back page of this report. LiveWell Columbia Survey Assessment 63% AGE 55 AND OLDER Type 2 diabetes, overweight and obesity, high blood pressure and alcohol use were seen as the most important health problems affecting this community. A healthy diet and regular exercise is important for reducing three of these four health conditions. However, of those responding, only half said that they are healthy eaters. Only a third of those responding indicated they have been physically active for an extended period of time. When asked why it is hard to exercise in their community, respondents said there aren t enough safe places to walk and sidewalks are needed. In addition to the traditional barriers to eating healthy, such as cost and too much fast food, respondents also expressed a need for more farmers markets and community gardens in the area. Increasing access to affordable health care, safe neighborhoods and a better economy with high job security also were seen as ways to make the community healthier. 32% MARRIED ADULTS 26% 23% 19% 1,542 DIVORCED OR SEPARATED SINGLE WIDOWED TOTAL RESPONSES The majority of responses were from African-Americans and females, with more than half over the age of 55. The average household size was more than two people. The rest of this report details other key survey findings. Note: Percentages have been rounded up. The LiveWell Columbia assessment was administered via Survey mail and door-to-door from July through October Full assessment results are available by request, CommunityServices@PalmettoHealth.org or

4 How would you rate the overall health of your community? Somewhat healthy 39% Somewhat unhealthy 28% Unhealthy 12% Healthy 11% Very unhealthy 8% Very healthy 3% 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% High blood pressure Overweight/Obesity Heart disease and stroke Alzheimer's/Demen5a What do you think are the THREE MOST important health problems in your community? Diabetes Alcohol use Drug Use Arthri5s Tobacco use Mental health Cancer HIV/AIDS/STD Other Infant death 1% 4% 4% 3% 10% 10% 17% 17% 24% 28% 33% 0% 10% 20% 30% 40% 50% 60% 70% 45% 49% 63% More than one-third (39 percent) of respondents rate the overall health of their community as somewhat healthy. Although 39 percent rate the community as somewhat healthy, high blood pressure (63 percent), diabetes (49 percent) and overweight/obesity (45 percent) were rated as the three most prevalent health conditions in the community. 4

5 Would you say that, in general your health is...(choose one) Fair 46% Very Good 42% Excellent 6% Poor 6% 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% What are the THREE MOST important factors for a "healthy community"? Safe neighborhoods Access to affordable health care Good jobs/healthy economy Access to healthy foods Low crime Strong faith and fellowship Neighbors helping neighbors Clean environment Good schools Access to safe and affordable care No discrimina2on Low disease rate Other 2% 8% 7% 14% 18% 39% 35% 31% 30% 27% 26% 23% 48% 0% 10% 20% 30% 40% 50% 60% The majority of residents rate their general health status as fair (46 percent) or very good (42 percent). Residents ranked safe neighborhoods, access to affordable health care, and good jobs/healthy economy as the three most important characteristics of a healthy community. 5

6 Do you have a primary care doctor? 15% Yes No 85% In the past 12 months, did you have an annual medical physical? 20% Yes No 80% In the past 12 months, 81 percent had an annual medical physical and 85 percent have a primary care doctor. 6

7 In the past 12 months, did you visit a health care provider? 8% Yes No 92% In the past 12 months, did you see a dental care provider? 47% Yes 53% No Although 92 percent of those responding have visited a health care provider in the last 12 months, only 53 perent have visited a dental care provider. 7

8 If you felt you needed help with mental health issues how comfortable are you with seeking care? Comfortable 35% Very Comfortable 26% Don't Know/Not Applicable 14% Very Uncomfortable 13% Neutral 8% Uncomfortable 4% 0% 5% 10% 15% 20% 25% 30% 35% 40% Does your community have access to affordable mental health care? Don't Know 67% Yes 19% No 14% 0% 10% 20% 30% 40% 50% 60% 70% 80% Although 60 percent of respondents feel comfortable or very comfortable seeking care for help with mental health issues, more than half (67 percent) of respondents indicate they are unsure if access to affordable mental health care is available in the community. 8

9 40% Please pick the statement that best describes your current walking or exercise behavior. 35% 36% 30% 25% 23% 20% 19% 15% 16% 10% 7% 5% 0% I presently walk or exercise on a regular basis and have been doing so for longer than six months. I presently do not walk or exercise on a regular basis, but I have been thinking about starting to walk or exercise within the next six months. I presently do not walk or exercise on a regular basis, but I plan to start in the next 30 days. I presently walk or exercise on a regular basis and have been doing so for less than six months. I presently do not walk or exercise on a regular basis and do not plan to start walking or exercising in the next six months. 60% Please pick the statement that best decribes your current eating habits. 52% 50% 40% 30% 20% 17% 17% 12% 10% 2% 0% I presently eat healthy almost every day and have been doing so for longer than six months. I presently eat healthy almost every day and have been doing so for less than six months. I presently don't eat healthy on most days of the week, but I plan to start in the next 30 days. I presently don't eat healthy, but I have been thinking about doing so within the next six months. I presently don't eat healthy, and don't plan on doing so in the next six months. The majority of respondents from this community report that they regularly engage in the recommended amount of physical activity (36 percent) and have done so for longer than six months. More than half (52 percent) of those responding report that they eat healthy on a regular basis for more than six months. 9

10 What is your main way of transportation? (Choose only one) Car 86% Bus 8% Other 3% Walking 2% Cab 1% Bike 0% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% If you use the Internet, where do you usually it? Home 60% Cell Phone 19% I do not use the Internet regularly 18% Work 15% Library 13% Tablet PC/iPad 7% Friend or family member's home 5% Other 3% 0% 10% 20% 30% 40% 50% 60% 70% Among respondents who regularly use the Internet, 60 percent of respondents report accessing from home most often, followed closely by cell phones (19 percent) and work (15 percent). Nearly 18 percent indicate they do not regularly use the Internet. Respondents could choose more than one answer. 10

11 What are the top three ways you receive your health information? Doctor/nurse 84% Internet 39% Family member 34% Radio/television Flyer/pamphlet Friend Magazine Books 28% 24% 20% 17% 15% Newspaper 9% School/work presenta6on Other Billboard/poster 3% 2% 4% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% The top three ways in which respondents receive health information include their doctor/nurses (84 percent), the Internet (39 percent) and family members (34 percent). 11

12 Richland County and ZIP Code Demographic Information (Source: American Fact Finder, the United States Census Bureau and the SC Department of Employment and Workforce, 2012) Variable ZIP Code Richland County South Carolina Total population , ,504 4,625, Demographic Breakdown Median household income ( ) $31,907 $48,485 $44,587 Per capita household income ( ) $17,755 $26,225 $23,854 Age (2012) Under 19 years old 28.2% 22.6% 23.1% Over 65 years old 13% 10.5% 14.7% Race (2012) African-American, non-hispanic 81.4% 46.8% 28% Caucasian, non-hispanic 14.2% 44.6% 28% Hispanic or Latino 3.4% 5% 5.3% Two or more races 1.6% 2% 1.6% Sex (2012) Female 54.5% 51.4% 51.4% Male 45.5% 48.6% 48.6% Other Demographics Living in poverty 30.3% 15.4% 17.1% Living below poverty level ( ) 27.2% 15.9% 17% Unemployment 12.1% 5.5% 5.7% Persons not in the workforce 35.1% 31.1% 37.1% Located in the northern part of Columbia, the ZIP code has a total population of 39,843 and is the fourth most populated area in Richland County (Palmetto Health Triple Aim Project, 2012, United States Census Bureau and American Fact Finder, 2012). This community has a greater percentage of African-Americans compared to Richland County and the state (United States Census Bureau and American Fact Finder, 2012). The area also has a higher percentage of females and unemployment among those of workforce age (Palmetto Health Triple Aim Project, 2012). Wealth is lower and the per capita household income in 2010 was below South Carolina s average of $25,065 (United States Census Bureau and American Fact Finder, 2012). The percentages of people living in and/or below poverty also are higher than the percentage living in poverty for Richland County, which was 14.5 percent in 2010 (U.S. Census Bureau, 2012). COPAD