2013 Rankings Winnebago

County, llinois

County Health Rankings Model for Population Health Improvement

2013 Winnebago County Summary Health Rankings

Four Year Comparison (2010 – 2013)

2010 2011 2012 2013 Rank Z-Score Rank Z-Score Rank Z-Score Rank Z-Score

Health Outcomes 77 0.37 72 0.35 73 0.32 82 0.53

Mortality 54 0.00 56 0.02 51 -0.02 70 0.17

Morbidity 86 0.37 86 0.33 89 0.34 88 0.35

Health Factors 83 0.29 95 0.55 98 0.66 101 0.85

Health Behavior 53 0.00 88 0.15 76 0.09 75 0.09

Clinical Care 12 -0.11 11 -0.12 32 -0.06 39 -0.02

Social and Economic 94 0.42 100 0.55 101 0.60 101 0.67

Physical Environment 42 -0.01 22 -0.04 90 0.03 101 0.12

Note: Ranking is out of 102 counties in Illinois

OnOff

Winnebago County

Winnebago County

Error Margin

Illinois National Benchmark*

Trend Rank (of 102)

Winnebago County

Error Margin

Illinois National Benchmark*

Trend Rank (of 102)

Health Outcomes 82

Mortality 70

Premature death 7,691 7,334-8,048 6,604 5,317

Morbidity 88

Poor or fair health 15% 13-19% 15% 10%

Poor physical health days 3.5 2.9-4.0 3.4 2.6

Poor mental health days 3.6 2.9-4.3 3.3 2.3

Low birthweight 9.2% 8.9-9.5% 8.4% 6.0%

Health Factors 101

Health Behaviors 75

Adult smoking 23% 19-27% 19% 13%

Adult obesity 29% 25-33% 27% 25%

Physical inactivity 27% 23-31% 25% 21%

Excessive drinking 18% 14-22% 20% 7%

Motor vehicle crash death rate 11 10-13 10 10

Sexually transmitted infections 535 473 92

Teen birth rate 50 48-52 38 21

Clinical Care 39

Uninsured 15% 14-16% 16% 11%

Primary care physicians** 1,342:1 1,292:1 1,067:1

Dentists** 1,657:1 1,630:1 1,516:1

Preventable hospital stays 71 68-74 75 47

Diabetic screening 85% 82-88% 84% 90%

Mammography screening 65% 61-68% 65% 73%

Winnebago County

Error Margin

Illinois National Benchmark*

Trend Rank (of 102)

Social & Economic Factors 101

High school graduation** 70% 82%

Some college 55% 53-57% 66% 70%

Unemployment 12.7% 9.8% 5.0%

Children in poverty 28% 24-31% 21% 14%

Inadequate social support 21% 18-25% 21% 14%

Children in single-parent households 39% 37-41% 31% 20%

Violent crime rate 926 486 66

Physical Environment 101

Daily fine particulate matter 11.7 11.5-11.9 12.3 8.8

Drinking water safety 74% 3% 0%

Access to recreational facilities 8 10 16

Limited access to healthy foods** 6% 4% 1%

Fast food restaurants 50% 50% 27%

2013 * 90th percentile, i.e., only 10% are better.** Data should not be compared with prior years due to changes in definition. Note: Blank values reflect unreliable or missing data

NOTE: Highlighted factors exceed State mean

County Health Rankings 2013: Illinois

9 www.countyhealthrankings.org/illinois

2013 County Health Rankings: Measures, Data Sources, and Years of Data 

  Measure  Data Source  Years of Data 

HEALTH OUTCOMES 

Mortality  Premature death  National Center for Health Statistics  2008‐2010 

Morbidity  Poor or fair health  Behavioral Risk Factor Surveillance System  2005‐2011 

  Poor physical health days  Behavioral Risk Factor Surveillance System  2005‐2011 

  Poor mental health days  Behavioral Risk Factor Surveillance System  2005‐2011 

  Low birthweight  National Center for Health Statistics  2004‐2010 

HEALTH FACTORS 

HEALTH BEHAVIORS 

Tobacco Use  Adult smoking  Behavioral Risk Factor Surveillance System  2005‐2011 

Diet and Exercise  Adult obesity 

 

Physical inactivity 

National Center for Chronic Disease Prevention and Health Promotion 

National Center for Chronic Disease Prevention and Health Promotion 

2009

2009 

Alcohol Use  Excessive drinking  Behavioral Risk Factor Surveillance System  2005‐2011 

  Motor vehicle crash death rate  National Center for Health Statistics  2004‐2010 

Sexual Activity  Sexually transmitted infections  National Center for HIV/AIDS, Viral Hepatitis, STD, and TB prevention 

2010 

Teen birth rate  National Center for Health Statistics  2004‐2010 

CLINICAL CARE 

Access to Care  Uninsured   Small Area Health Insurance Estimates  2010 

  Primary care physicians  HRSA Area Resource File  2011‐2012 

  Dentists  HRSA Area Resource File  2011‐2012 

Quality of Care  Preventable hospital stays  Medicare/Dartmouth Institute  2010 

  Diabetic screening  Medicare/Dartmouth Institute  2010 

  Mammography screening  Medicare/Dartmouth Institute  2010 

SOCIAL AND ECONOMIC FACTORS 

Education  High school graduation  Primarily state‐specific sources, supplemented with National Center for Education Statistics 

State‐specific 

  Some college  American Community Survey  2007‐2011 

Employment  Unemployment  Bureau of Labor Statistics  2011 

Income  Children in poverty  Small Area Income and Poverty Estimates  2011 

Family and Social Support 

Inadequate social support  Behavioral Risk Factor Surveillance System  2005‐2010 

Children in single‐parent households  American Community Survey  2007‐2011 

Community Safety  Violent crime rate  Federal Bureau of Investigation  2008‐2010 

PHYSICAL ENVIRONMENT 

Environmental Quality  Daily fine particulate matter 1  CDC WONDER Environmental data  2008 

Drinking water safety  Safe Drinking Water Information System  FY 2012 

Built Environment  Access to recreational facilities  Census County Business Patterns  2010 

  Limited access to healthy foods  USDA Food Environment Atlas  2012 

  Fast food restaurants  Census County Business Patterns  2010 

 

1 Not available for AK and HI.

Improving community health requires people from multiple

fields to work collaboratively on an ongoing

cycle of activities.

Contact: Sue Fuller, Public Information Officer, Winnebago County Health Department Phone: 815-720-4213 Date: Wednesday, March 20, 2013

Winnebago County’s 2013 Overall Health Rankings The County Health Rankings helps communities sharpen their focus on areas related to

health that need improvement.

Winnebago County Illinois – Winnebago County’s overall health ranking fell from last year, moving from the third quartile in health outcomes to the fourth quartile in Illinois (82 out of 102 counties), according to the annual County Health Rankings, released today, Wednesday, March 20, 2013, by the University of Wisconsin Population Health Institute and the Robert Wood Johnson Foundation.

This is the fourth consecutive year of County Health Rankings, representing the most comprehensive review of its kind by ranking the overall health of nearly every county in all 50 states by using a standard method to measure health outcomes and contributing factors. This release ranks each county within its State on how healthy people are, how long they live and a number of contributing factors that affect health, such as smoking, obesity, binge drinking, access to healthcare, education levels, air quality, and income indicators. “With this knowledge, we can take steps to improve our weakest factors, which will contribute to improving the health of our residents,” said Winnebago County Public Health Administrator, Mike Bacon.

“No single sector alone can solve the health challenges in a community. Everyone has a role to play. The Rankings show that things like having a job, a good education, access to healthy foods, and a safe place to live affect how healthy we are. It’s about bringing members of the community together to take action to prevent disease and improve health,” added Mike Bacon.

In August of 2012, the Illinois Department of Public Health awarded the We Choose Health multi-year Community Transformation Grant to twenty-one agencies statewide, which included WCHD’s proposal being one of the top five funded awards. The Winnebago County Health Department (WCHD) initiative includes nine funded partners whose goal is to implement chronic disease prevention by working together using a multi-faceted approach to improve the health of our community. This annual release of county rankings is a tool to remind us that where we live, learn, work and play greatly influences how long and how well we live. It is important to note however, in all communities health falls short of what it could be,” said Mike Bacon, public health director.

Where Winnebago County compares well to others counties in Illinois is in clinical care, like the ratio of primary care providers and dentists to population, preventable hospital stays and diabetic screening. Where we do not compare well is in the area of health behaviors such as smoking, obesity, sexually transmitted infections, violent crime rate, teen birth rate, drinking water safety, and limited access to healthy foods. Socio-economic factors, such as high school graduation rates, unemployment, children in poverty, and children in single parent households, are also below the statewide mean.

Next Page

While it is important to get updated information each year, it is difficult to measure changes from one year to the next. What is important however is that action is being initiated to improve health. To that end, local stakeholders are working together through the Healthy Community Study of the Rockford Health Council in nine workgroups. Each of these workgroups have developed intervention strategies to address contributing factors to a specific range of health problems from access to care to basic needs, to chronic disease, oral health, health equity, maternal and child health and violence and public safety,” said Mike Bacon. The Rankings have served to highlight many of the same health and social and economic discrepancies that the Healthy Community Study has underlined.

The Rankings, available at www.countyhealthrankings.org, includes a snapshot of each county in Illinois, with a color-coded map comparing each county’s overall health ranking. Researchers used 29 indicators in five categories to assess the level of overall health or “health outcomes” for Illinois by county: the rate of people dying before age 75, the percent of people who report being in fair or poor health, the numbers of days people report being in poor physical and poor mental health, and the rate of low-birth weight infants (see attached summary tables). The Winnebago County Health Department has prioritized improving maternal and child health in its latest Community Health Improvement Plan, “Creating Conditions in Which People Can Be Healthy…Together We Can”, March 2012. These interventions target improving birth outcomes and reducing smoking and sexual transmitted infections in pregnant women. This effort requires close coordination and partnering with health care and other community-based organizations.

For more information, please visit www.countyhealthrankings.org and www.wchd.org

About the Robert Wood Johnson Foundation The Robert Wood Johnson Foundation focuses on the pressing health and health care issues facing our country. As the nation's largest philanthropy devoted exclusively to improving the health and health care of all Americans, the Foundation works with a diverse group of organizations and individuals to identify solutions and achieve comprehensive, meaningful and timely change. For more than 35 years the Foundation has brought experience, commitment and a rigorous, balanced approach to the problems that affect the health and health care of those it serves. When it comes to helping Americans lead healthier lives and get the care they need, the Foundation expects to make a difference in your lifetime. For more information, visit www.rwjf.org. About the University of Wisconsin Population Health Institute The University of Wisconsin Population Health Institute is the focal point within the University of Wisconsin School of Medicine and Public Health for translating public health and health policy research into policy and practice. The Institute strives to: Address a broad range of real-world problems of topical importance to government, business, providers and the public;

Promote partnerships of inquiry between researchers and users of research, breaking down barriers between the academic community and public and private sector policy makers;

Advance the development of interdisciplinary research, along the spectrum from public health to health care;

Provide continuing education for practitioners and opportunities for applied learning for graduate and medical students; and make useful contributions to public health and health policy decisions that improve the health of the public. For more information, visit, http://uwphi.pophealth.wisc.edu/

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