Local Community Local Community Health NeedsHealth Needs

Diana Silvey

Program Director

Winter Park Health Foundation

2009 East Central FL Community Health Survey

• WPHF & FL Hospital were major sponsors with additional support provided by other community partners

• Conducted by Health Council of East Central FL (HCECF)

• 3rd such survey (every 5 years)• Includes Orange, Seminole, Osceola and Brevard counties

• Oversampling in Winter Park, Maitland and Eatonville communities

Healthy People 2010

• Set of health objectives for the nation to achieve in first decade of new century

• 2 major goals– Increase Quality and Years of Healthy Life

– Eliminate Health Disparities

• 28 specific focus areas for disease prevention and health promotion 

What do we know about Winter Park’s population? (race/ethnicity)

Race and Ethnicity - Winter Park

Black10.1%

Hispanic4.1%

Other3.4%

White82.4%

What do we know about Maitland’s population? (race/ethnicity)

Race and Ethnicity - Maitland

White80.4%

Other4.8%

Hispanic5.6%

Black9.2%

What do we know about Eatonville’s population? (race/ethnicity)

Race and Ethnicity - Eatonville

Black86.3%

Hispanic3.4%Other

3.1%

White7.3%

Winter Park’s Age Breakdown

Age Groups - Winter Park

3.1%

14.2% 14.1%

4.9% 5.0% 5.4%9.7% 10.8% 9.7%

22.9%

0.0%5.0%

10.0%15.0%20.0%25.0%

Under5

5 to 9 10 to14

15 to17

18 to24

25 to34

35 to44

45 to54

55 to64

65 andover

Years

Maitland’s Age Breakdown

Age Groups - Maitland

4.4%

15.1% 16.2%

8.9%11.3%

5.2%7.7%7.4%

5.9%

17.8%

0.0%5.0%

10.0%15.0%20.0%

Under5

5 to 9 10 to14

15 to17

18 to24

25 to34

35 to44

45 to54

55 to64

65 andover

Years

Eatonville’s Age Breakdown

Age Groups - Eatonville

4.5%

15.7%

7.6%11.0% 10.6% 8.8% 11.8%

8.5% 10.4%11.1%

0.0%5.0%

10.0%15.0%20.0%

Under5

5 to 9 10 to14

15 to17

18 to24

25 to34

35 to44

45 to54

55 to64

65 andover

Years

Below Poverty Level

Percent Below Poverty Level

3.5%7.5%

14.3%6.4%

21.9% 25.0%

0.0%5.0%

10.0%15.0%20.0%25.0%30.0%

Families Individuals

Winter Park Maitland Eatonville

Above Poverty Level

Percent Above Poverty Level

92.5% 96.5% 93.6%78.1% 75.0%85.7%

0.0%20.0%40.0%60.0%80.0%

100.0%120.0%

Familes Individuals

Winter Park Maitland Eatonville

Self‐Perception of Health

• 14.7% of WP – fair or poor health• 13.5% of MT• 17.0% of EV

• HP 2010 benchmark is 10%• No change from five years ago.

“Healthy Lifestyle”Key Data Points

• Healthy food

• Exercise

• Weight/BMI

• Smoking

• Drinking

Healthy FoodFruits and Vegetables Consumption 

Still room for improvement, but doing better

54.1%

39.7%

32.3% 30.8%

53.9%

31.1%

57.6% 58.9%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

Fruit (2+ Svgs/day) Vegetables (3+ Svgs/day, 1/3 dark green/orange)

Winter Park/ Maitland/ Eatonville East Central Florida Orange County Orange County, 65+

Exercise

• Participation in any physical activity – improved from 5 years ago!

• WP – 73.6%

• MT – 74.9%

• EV – 65.5%

• Find that lower socioeconomic, non‐white, poor, less apt to have time or ability to exercise

Exercise continued

• Exercise more than 2 days a week….HP 2010 target is pretty low at 30%

• WP – 23.6%

• MT – 23.9%

• EV – 28.5%

Weight/BMI – worsening trend in overweight and obese

8.8%

1.5%

29.8%

38.8%

30.1%

22.2%

27.5%

37.1%

33.1%35.4%

32.2%

2.6%

28.5%

37.0%

33.5%

1.0%0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

45.0%

Underweight Normal Overweight Obese

Winter Park/ Maitland/ Eatonville East Central Florida Orange County Orange County, 65+

Smoking

• Smoking has decreased about 3‐5% since last survey

HP 2010 TARGET is 12% or lower:

• 17.5% smoke in WP

• 18.0% MT

• 14.7% EV – encouraging finding!

Alcohol – Binge Drinking on the Rise; Elderly Largest Group of Chronic 

Drinkers

3.1%

27.3%

2.6%

27.8%

0.6%

14.4%

17.8%

2.4% 2.9%

7.8%

3.9%

18.9%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

Chronic Drinker (60+ drinks/month) Binge Drinker (more than 5 drinks on an occasion)

Winter Park Maitland Eatonville East Central Florida Orange County Orange County, 65+

Lung Disease or Asthma –disproportionate in the poor, 

uninsured, non‐White population

10.4% 10.7%10.1%

10.6%

7.3%

8.1%8.3%

9.3%

10.2%

8.5%

9.8% 9.6%

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

Winter Park Maitland Eatonville East CentralFlorida

Orange County Orange County,65+

Chronic Lung Disease Asthma

Heart Disease or Stroke – also disproportionate burden on same 

categories of vulnerability

6.7%5.8% 5.9%

6.6% 6.4%

22.8%

13.4%

2.4%2.5%1.4%

2.7%3.2%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

Winter Park Maitland Eatonville East CentralFlorida

Orange County Orange County,65+

Chronic Heart Disease Stroke

Cancer/Skin Cancer Rates Have Improved Overall

25.5%

9.7%

6.0%6.5%5.2%

7.2%

8.7%

12.1%

5.5%

8.5%

0.6%

10.7%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

Winter Park Maitland Eatonville East CentralFlorida

Orange County Orange County,65+

Cancer Skin Cancer

Mental Health –poor adversely impacted

12.5%

26.6%

12.3%

9.8%

26.4%

6.1%

7.9%

11.3%

10.4%

11.5%

27.5%

12.0%

7.4%

30.3%

9.6%

28.5%28.3%

9.1%

0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0%

Fair or Poor Mental

Depressed on most days (for2 years or more)

Depression*

Winter Park Maitland Eatonville East Central Florida Orange County Orange County, 65+

*Suffered from or diagnosed with depression.

Depressed on most days (for 2 years or more)

Depression *

Diabetes – more common in non‐White population and obese

11.7%10.9%

16.1%

12.0% 12.1%

22.3%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

Winter Park Maitland Eatonville East CentralFlorida

Orange County Orange County,65+

High Blood Pressure/Cholesterol –worsening trend

70.1%

35.2%35.5%

41.8%

34.0%37.0%

60.4%

37.0%36.8%34.9%34.9%36.1%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

Winter Park Maitland Eatonville East CentralFlorida

Orange County Orange County,65+

Hi BP Hi Cholesterol

Questions