PRC Results PRC Assessment Findings Healthy Lifestyles Prevalence of Total Overweight Percent of Adults With a Body Mass Index of 250 or Higher Sources PRC Community Health Surveys Professional Research Consultants Inc Item 181 ID: 616854
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Slide1
Healthy Lifestyles
PRC ResultsSlide2
PRC Assessment Findings
Healthy LifestylesSlide3
Prevalence of Total Overweight
(Percent of Adults With a Body Mass Index of 25.0 or Higher)
Sources: ● PRC Community Health Surveys, Professional Research Consultants, Inc. [Item 181] ● 2013 PRC National Health Survey, Professional Research Consultants, Inc. ● Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control and Prevention (CDC): 2012 Florida data.Notes:
● Based on reported heights and weights, a
sked of all respondents.
● The definition of overweight is having a body mass index (BMI), a ratio of weight to height (kilograms divided by meters squared), greater than or equal to 25.0, regardless of gender. The definition for obesity is a BMI greater than or equal to 30.0.Slide4
Prevalence of Obesity
(Percent of Adults With a Body Mass Index of 30.0 or Higher)
Sources: ● PRC Community Health Surveys, Professional Research Consultants, Inc. [Item 181] ● 2013 PRC National Health Survey, Professional Research Consultants, Inc. ● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective NWS-9] ● Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control
and Prevention (CDC): 2012 Florida data.
Notes:
● Based on reported heights and weights, asked of all respondents. ● The definition of obesity is having a body mass index (BMI), a ratio of weight to height (kilograms divided by meters squared), greater than or equal to 30.0,
regardless of gender.
Lee County At-Risk
Higher prevalence of obesity:
Market Area 2
residents = 33.3%
Low-income
residents
(<200% FPL) = 31.1%
Adults
age 40-64
= 30.5%Slide5
Relationship of
Overweight With Other Health Issues(By Weight Classification; Lee County, 2014)
69.9% of overweight/obese adults have
not
been advised about weight by a health professional in the past year.
61.2% of overweight/obese adults are
not
trying to lose weight by modifying both diet and exercise.Slide6
Child Obesity Prevalence
(Percent of Children 5-17 Who Are Obese; Body Mass Index in the 95th
Percentile or Higher)Sources: ● PRC Community Health Surveys, Professional Research Consultants, Inc. [Item 185] ● 2013 PRC National Health Survey, Professional Research Consultants, Inc.
●
US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov
[Objective NWS-10.4]Notes: ● Asked of all respondents with children age 5-17 at home.
● Obesity among children is determined by children’s Body Mass Index status equal to or above the 95
th
percentile of US growth charts by gender and age.
Lee County Trend
35.9% are overweight
or
obese
Lee County At-Risk
Childhood obesity is higher among younger children,
age 5-12
= 29.1%Slide7
Consume Five or More Servings
of Fruits/Vegetables Per Day
Sources: ● PRC Community Health Surveys, Professional Research Consultants, Inc. [Item 173] ● 2013 PRC National Health Survey, Professional Research Consultants, Inc.Notes: ● Asked of all respondents. ● For this issue, respondents were asked to recall their food intake on the previous day.
Lee County At-Risk
Lower consumption among:
Low-income
residents
(<200% FPL) = 24.3%
African American
(23.0%) or
Hispanic
(27.2%) residents
Residents of
Market Area 2
(28.6%) or
Market Area 3
(28.8%)
Men
= 30.3%Slide8
Find It “Very” or “Somewhat”
Difficult to Buy Affordable Fresh Produce
Sources: ● 2014 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 108] ● 2013 PRC National Health Survey, Professional Research Consultants, Inc.Notes: ● Asked of all respondents.
49.8% report that this is “not at all difficult,” 29.1% “not too difficult.”
Lee County At-Risk
Greater difficulty among:
Low-income
residents
(<200% FPL) = 39.7%
Women
= 26.4%Slide9
No Leisure-Time
Physical Activity in the Past Month
Sources: ● PRC Community Health Surveys, Professional Research Consultants, Inc. [Item 110] ● Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control and Prevention (CDC): 2012 Florida data.
● 2013 PRC National Health Survey, Professional Research Consultants, Inc.
●
US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov
[Objective PA-1]Notes: ● Asked of all respondents.
Lee County At-Risk
Higher among:
Hispanic
residents = 30.3%
Women
= 26.3%
Low-income
residents
(<200% FPL) = 25.9%
Most favorable in Market Area 4 (16.0%)
Indicators of frequency, intensity and duration are similar to national findings, and similar among areas of the county.Slide10
Child Is Physically Active for
One or More Hours per Day(Among Children Ages 2-17)
Sources: ● 2014 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 142] ● 2013 PRC National Health Survey, Professional Research Consultants, Inc.Notes: ● Asked of all respondents with children age 2-17 at home. ● Includes children reported to have one or more hours of physical activity on each of the seven days preceding the survey.
Children With Three or More Hours per School Day of Total Screen Time
(Among Parents of Children 5-17)
Highest in teens.
Lowest in teens.Slide11
Lee County At-Risk
Seat belt usage is lower among:
Adults
age 18-39
= 86.6%
Low-income
residents
(<200% FPL) = 86.8%
Men
= 87.5%
Most favorable in Market Area 4 (93.3%)
“Always” Wear a Seat Belt
When Driving or Riding in a Vehicle
Sources:
● PRC Community Health Surveys, Professional Research Consultants, Inc. [Item 58]
● Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control
and Prevention (CDC): 2012 Florida data.
● 2013 PRC National Health Survey, Professional Research Consultants, Inc.
●
US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov
[Objective IPV-15]
Notes: ● Asked of all respondents.Slide12
Texted While Driving One or More Times in the Past Month
(Lee County, 2014)
Sources: ● 2014 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 67]Notes: ● Asked of all respondents.
● Hispanics can be of any race. Other race categories are non-Hispanic categorizations (e.g., “White” reflects non-Hispanic White respondents).
● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size. “Low Income” includes households
with incomes up to 200% of the federal poverty level; “Mid/High Income” includes households with incomes at 200% or more of the federal poverty level.
13.2% said 3+ timesSlide13
Lee County At-Risk
Higher smoking rates among:
Low-income
residents
(<200% FPL) = 22.1%
Adults
age 40-64
= 17.5%
No significant difference by geography
Current Smokers
Sources: ● PRC Community Health Surveys, Professional Research Consultants, Inc. [Item 186]
● 2013 PRC National Health Survey, Professional Research Consultants, Inc.
● Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States
Department of Health and Human Services, Centers for Disease Control and Prevention (CDC): 2012 Florida data.
● US Department of Health and Human Services. Healthy People 2020. December 2010. http://www.healthypeople.gov [Objective TU-1.1]
Notes: ● Asked of all respondents.
● Includes regular and occasional smokers (those who smoke cigarettes everyday or on some days).
Smoking cessation attempts have increased significantly since 2007.Slide14
Lee County At-Risk
Higher exposure among:
Low-income
households
(<200% FPL) = 16.5%
African American
households = 17.6%
Market Area 2
households = 13.5%
Member of Household Smokes at Home
Sources: ● PRC Community Health Surveys, Professional Research Consultants, Inc. [Items
72, 188]
● 2013 PRC National Health Survey, Professional Research Consultants, Inc.
Notes: ● Asked of all respondents.
● “Smokes at home” refers to someone smoking cigarettes, cigars, or a pipe in the home an average of four or more times per week in the past month.
same trend is seen in households with kidsSlide15
Healthy Lifestyles
Update
Sarah Baker &Pastor William Glover Co-ChampionsSlide16
Healthy Lifestyles
Encourage Lee County residents to pursue a culture of healthy lifestyles including access to nutritional information, physical activity and exercise, stress management, routine medical exams/check-ups, and information on prevention of risk factors for disease. Develop accessible community programs for health literacy, population management, system and policy changes to support a healthy and safe environment while improving the economics of health care in our community. Slide17
Healthy Lifestyles ScorecardSlide18
Status
% of population obese (BMI >= 30):
24.8%Tobacco Use: 13.5%Infant Mortality: 5.1%
Low
Birthweight
<2500 grams: 8.1%Prenatal Care in the First Trimester:
73.0%Slide19
Accomplishments
Healthy Lee Coalition
Focused on creating and sustaining a community culture of healthier lifestyles within Lee County.Distribution list currently has 202 contacts representing 94 organizations as well as 17 citizens.Meets Quarterly / Next meeting: July 31, 2014Five goal areas: Expand Commitment to Healthy LeeImprove Nutritional Habits of the People in Lee CountyIncrease Physical Activity of the People in Lee County
Encourage Healthy Lifestyles and Wellness Initiative in the Workplace, Neighborhoods, and Churches
Influence Policy and Environmental changes in support of healthier lifestylesSlide20
Accomplishments
Streets Alive! – November 10, 2013Slide21
Accomplishments
“Good for You” video produced with Lee County School District’s Healthy Living Lab Harry Chapin Food Bank“Fresh Produce Rescue Program” distributed 5.1 million pounds of produce in 2013.Distributed 100 millionth pound of food.Tobacco Free LeeCandy-flavored tobacco resolutions passed (3 of 5 municipalities).
Policy eliminating e-cigarette use in schools and an alternative to suspension for students who violate tobacco use rules.Slide22
Accomplishments
21st
Century Collaboration – Teen Outreach ProgramBest practice program to prevent teen pregnancy through structure after school programs.Implemented last yearHorizon Council Workplace Wellness SummitMarch 2014 – sold out event / over 150 attendees Half-day session with local / national speakers and health/wellness vendorsExit surveys indicate high levels of satisfaction and a desire to attend another summit next yearSlide23
Opportunities for Improvement
21st
Century Collaboration – Teen Outreach ProgramProgram limited by available resources. State of Florida 2014 Health and Human Services Budget included $450,000 for program expansion and signed into law by the governor.Healthy Start of Southwest FloridaSeveral state government funding losses will result in major reductions in services in Lee County and the surrounding area.Prenatal care for the uninsured will no longer be covered by Healthy Start.Lee County Sustainability Plan
Program has been suspended indefinitelySlide24
Next Steps
Expand 5210 program reachAgreement with Lee Physicians Group Pediatric practice to pilot 5210 at the Page Field practice. Next Event: November 2, 2014 Resources, volunteers, and sponsors needed.Horizon Council Workplace Wellness Summit
Next event currently being planned for 2015Slide25
Healthy Lifestyles
The review today leads me to conclude that overall we are on the right track to reach our 2017 goals for Healthy Lifestyles
.YesNoSlide26
Healthy Lifestyles
We are on the right track to reach the Obesity goal by 2017.
Yes NoSlide27
Healthy Lifestyles
We are on the right track to meet our Tobacco use
goal by 2017.YesNoSlide28
Healthy Lifestyles
We are on the right track to meet our Healthy Newborn goals for 2017
.YesNo Slide29
Discussion