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Lane County
Community HealthNeedsAssessment
Summary ofAvailableData
August 2012
Meeting Objectives
Share and discuss quantitative communityhealth indicators.
Understand the meaning behind data.
Learn where we are lacking information.
Broadly engage the community in focused communityhealth
improvement efforts.
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Numerous documents/resources were reviewed in preparing this
Assessment, including:
2010 US Census
Healthy People 2020
National Prevention Strategy, the National Prevention Council, June 2011
Oregon Databook 2010 and 2011
County Databook, Children First for Oregon
Oregon Healthy Teens 2007-2008 8
th
and 11
th
grade summarized
United Way ofLane County’s 2008 Leading Indicators Report
Lane Council of Governments Senior & Disabled Services, 2011 Community
Needs Assessment
Oregon Tobacco Prevention and Education Program
CountyHealth Rankings, 2012
Oregon Healthy Teens 2007-2008 8
th
and 11
th
grade summaries
Multnomah CountyCommunityHealthAssessment Focus Group Report
Head Start ofLaneCountyCommunityAssessment 2011-2012
3
Documents Reviewed, continued
Kids Count
National Vital Statistics Report (NVSR) Final Data for 2009
Emergency Department Utilization in Lane County, 2006-2007, A
project of the 100% Access Healthcare Initiative, Health Policy
Research Northwest
Florence Area Coordinating Council Meeting Minutes May 2, 2012
Black Butte Mine Summary, Oregon Health Authority
Prevalence of Cardiovascular Disease Risk Factors Among US
Adolescents, 1999-2008, A L May et al, Pediatrics, May 2012
Lifetime Risk for Diabetes Mellitus in the United States
Community Conversation Guide, the Harwood Institute
HACSA Moving Towards Smokefree Housing
Healthy Air Survey, LaneCounty Public Health
Oregon Tobacco Facts and Laws
4
Documents Reviewed, continued
Keeping Oregonians Health
Oregon Chronic Disease, years 2006-09
Local Actions to Prevent Obesity – Institute of Medicine
Oregon Student Wellness Survey results, grades 8 and 11, school
year 2007-08
LaneCounty Air Quality Field Burning
LaneCounty HACSA tenant survey
HACSA resident meeting PowerPoint presentation
Opportunity Eugene Community Taskforce on homelessness
solutions
Thriving Communities Executive Summary
5
Service Area Overview
Consistent with each Collaborative member’s service area, the
CHNA encompasses LaneCounty in its entirety.
7
The County is home to about 350,000 residents. Individual
communities vary greatly in their demographic characteristics.
Racial and Ethnic Background in LaneCounty
City
Total
Population
White
Black
American
Indian
Pacific
Islander
Asian
Hispanic
Percent 65
years of age
or older
Cottage Grove
9,686
90.4%
0.3%
1.3%
0.1%
1.1%
8.0%
16.5%
Creswell
5,031
89.6%
0.4%
1.0%
0.1%
1.0%
8.6%
11.8%
Eugene
156,185
85.8%
1.4%
1.0%
0.2%
4.0%
7.8%
10.0%
Florence
8,466
92.5%
0.3%
1.3%
0.3%
1.0%
5.4%
36.4%
Junction City
5,392
90.4%
0.7%
1.3%
0.1%
0.6%
9.0%
15.1%
Springfield
59,403
85.9%
1.1%
1.4%
0.3%
1.3%
12.1%
11.6%
Lane County
351,715
88.3
1.0%
1.2%
0.2%
2.4%
7.4%
15.0%
Oregon
3,831,074
83.6%
1.8%
1.4%
0.3%
2.4%
11.4%
13.9%
United States
308,745,538
72.4%
12.6%
0.9%
0.2%
4.8%
16.3%
13.0%
Source: US Census, 2010
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Lane County has more 65+ residents and fewer residents under 18
than the rest of the State or Nation.
0%
5%
10%
15%
20%
25%
30%
Under 18 65+
Lane County
Oregon
Nation
Source: 2010 US Census
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In fact, Florence has more than twice the rate of elderly than the
County at large.
Percent under 18
Percent 65+
20
24
25
14
24
27
24
15
17
36
12
15
10
12
14
23
Lane County
Oregon
Source: 2010 US Census
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[...]... mean renter in LaneCounty makes $10.34 an hour, but would need an extra $4.28 an hour (29%) to afford a 2-BR apartment 40% ofLaneCounty residents spend more than 30% of their income on housing Sources: National Bureau of Labor Statistics; CountyHealth Rankings United Way ofLaneCounty 2008 Leading Indicators Report; Head Start ofLaneCountyCommunityAssessment 2011-2012 32 LaneCounty faces... 2011, CommunityHealth Centers ofLaneCounty treated 2,349 homeless patients In two month period beginning in August 2010, 102 Head Start families were homeless Sources: National Bureau of Labor Statistics; CountyHealth Rankings United Way ofLaneCounty 2008 Leading Indicators Report; Head Start ofLaneCountyCommunityAssessment 2011-2012 33 Access to Care In comparison to the Nation, Lane County. .. 30 LaneCounty is similar to the State and Nation in select social determinants of health Exceptions include lower rates of nonEnglish proficiency and illiteracy It has a higher rate of violent crime than the rest of the State, but the rate is lower than the Nation Selected Determinants for LaneCounty and Oregon State Determinant Percent of the population with inadequate social Support Percent of. .. 2006-2008 23 General Health Status Variable Percent with fair or poor health Poor physical health days per month Poor mental health days per month LaneCounty Oregon State 14.0% 14.0% 4 4 4 3 Source: CountyHealth rankings, 2012 24 Social and Economic Environment The social determinants of health – the conditions in which people are born, grow, live, work, and age – play an important role in health status... assault 31 LaneCounty faces some significant economic challenges While currently the County s unemployment rate (8.8%) is lower than the State’s rate (9.2%), at the peak of the recession, LaneCounty s rate soared to nearly 14% while the Oregon rate only reached about 12% Wages in LaneCounty are lower than the State overall, and were low enough that LaneCounty ranks in the lower third of all counties... 12.0% 10.0% 8.0% LaneCounty Oregon State 6.0% 4.0% 2.0% 0.0% Asthma Heart Disease Angina Stroke Age-adjusted prevalence rates Source: Oregon BRFSS County Combined Dataset 2006-2009 22 Premature Death Variable Premature death: potential years of life lost before age 75 per 100,000 LaneCounty 6,813 Oregon State 6,343 National Average 7,083* CountyHealth rankings, 2012 * National Health Indicators... 180 160 140 120 LaneCounty 100 Oregon Nation 80 60 40 20 0 Cancer Heart Disease Sources: Oregon, LaneCounty Oregon Vital Statistics Annual Report for years 2007-2009, National Rate, National Vital Statistic Report (NVSR), rates are age-adjusted Rates are per 100,000 16 In Lane County, lung, bronchus, and tracheal cancers were the cancers with the highest death rates LaneCounty s rate of cancer and... 31.9% 40.4% 31.3% 35.9% Total LaneCounty Medicaid population = (N=61,669) (Florence area data not available) 29 LaneCounty residents are less likely to be foreign-born or speak a language other than English at home than the rest of the State or Nation Language Demographics City Percent foreign-born Cottage Grove Creswell Eugene Florence Junction City Springfield LaneCounty Oregon United States 3.3%... majority of deaths in the County 200 Cancer 180 160 Heart Disease 140 Chronic Lower Respiratory Disease Unintentional Injuray 120 100 Stroke 80 60 Alzheimer's 40 Diabetes 20 Suicide 0 LaneCounty deaths per 100,000 (age-adjusted) 14 Cancer and heart disease are the top causes of death in Lane County, and in the years 2007-2009, these causes accounted for 42% of all resident deaths Top Causes of Mortality... uninsured, with 23% of residents uninsured Health care reform in 2014 should make a dramatic impact on this rate Source: State, County, BRFSS 2006-2009; National, BRFSS 2010 35 LaneCounty has more Mental Health Providers per 1,000 residents and comparable Primary Care Providers (PCPs) and Dentists per resident to the State 1.6 1.4 1.2 1 LaneCounty 0.8 Oregon 0.6 0.4 0.2 0 PCPs Mental Health Providers . Lane County Community Health Needs Assessment Summary of Available Data August 2012 Meeting Objectives Share and discuss quantitative community health indicators Oregon Healthy Teens 2007-2008 8 th and 11 th grade summarized United Way of Lane County s 2008 Leading Indicators Report Lane Council of Governments Senior & Disabled Services, 2011 Community. Community Needs Assessment Oregon Tobacco Prevention and Education Program County Health Rankings, 2012 Oregon Healthy Teens 2007-2008 8 th and 11 th grade summaries Multnomah County Community