Project conducted by Iowa State University Extension and the ISU...

Project conducted by Iowa State University Extension and the ISU Campus Community Partnership on behalf of the Story County

Community Coalition (SCCC).

Background

Committee Members

Development and Process

Funders

Purpose

Overview

2

Methodology and Demography

Health and Family

Youth

Community Lifestyle

Community Needs and Social Determinants

Behavioral Health

Presentation Outline

3

Christopher J. Seeger ◦ Associate Professor and Extension Specialist with Extension Community & Economic Development

Nora Ladjahasan ◦ Assistant Scientist with the Institute for Design Research & Outreach

Janice Larson ◦ Survey Director with the Center for Survey Statistics & Methodology (CSSM)

Jane Goeken ◦ Community Development Specialist with Extension Community & Economic Development

Greg Welk ◦ Associate Professor of Kinesiology and Director of the Nutrition & Wellness Research Center

Mary Huddleston ◦ Community Outreach Coordinator, Nutrition and Wellness Research Center

Students in HS430 (Community Health Program Planning) ◦ Students last year helped to plan elements of the surveys and the students this semester helped

with some of the interpretations and the planning of the event today.

Iowa State University Team

4

6

Total Sample

No Response

Unlocated

Not Eligible

Refused Complete Surveys

Response Rate

Ames 1527 597 84 2 55 789 51.7%

Cambridge 48 23 1 0 2 22 45.8%

Collins 29 15 1 0 1 12 41.4%

Colo 53 19 7 0 1 26 49.1%

Gilbert 33 15 2 0 1 15 45.5%

Huxley 107 45 6 0 0 56 52.3%

Kelley 21 6 1 0 0 14 66.7%

Maxwell 52 24 1 0 3 24 46.2%

McCallsburg 16 7 0 0 0 9 56.3%

Nevada 295 113 8 1 20 153 52.0%

New Providence 1 1 0 0 0 0 0.0%

Roland 64 30 0 0 1 33 51.6%

Saint Anthony 1 0 0 0 0 1 100.0%

Slater 62 18 1 0 10 33 53.2%

State Center 1 1 0 0 0 0 0.0%

Story City 155 51 9 7 3 85 57.4%

Zearing 33 17 3 0 0 13 39.4%

ID REMOVED 8 ----

TOTAL 2499 979 124 11 86 1292 51.9%

2,499 Surveys Distributed - 51.9% return rate

Distribution of Respondents

7

%

Ames 68.7%

Outside Ames 31.3%

Outside Ames Nevada 9.5%

Story City 6.5%

Huxley 3.6%

Roland 2.4%

Maxwell 1.8%

Slater 1.7%

Cambridge 1.3%

Colo 1.2%

Gilbert 0.8%

Kelley 0.7%

Zearing 0.7%

Collins 0.5%

McCallsburg 0.5%

Respondents‟ Residence

8

Age of Respondents

9

Age of Respondents

10

2010

Married 59.7%

Single 16.9%

Divorced/separated 15.2%

Widowed 8.3%

Marital Status

11

12

Percentage

Race

White/Caucasian 93.2%

Black/African-American 0.7%

Asian/Pacific Islander 4.4%

Other 1.8%

Language Spoken at home

English 97.3%

Spanish 0.7%

Other 1.7%

(Chinese, Taiwanese, Hebrew, Korean, Thai, French, Gujarati, Greek, Farsi, Tagalog, Arabic, Indonesian, etc.)

Speak two languages 50-50 (Korean & English, Spanish & English, Chinese & English) 0.3%

Education

13

More than half of respondents from Story County has at least some college or technical training

Rating of Overall Health Status

15

People feel that their overall health status is above average

Health Status (Good to Excellent)

16

94% of Story County residents rate their overall health status as good or excellent, which is higher than 89% of residents at the state level and 86% at the national level*

Tried to Lose Weight

17

2005 2010

Ames 53.7% 61.4%

Outside Ames 49.7% 61.2%

Story County 52.3% 61.3%

Individuals of Story County have increased their efforts at losing weight by 9%.

% of Residents with BMI over 25

Story County has a 18% increase in self-reported BMI over 25 since 2005; however, the level reported by residents is 2% lower than the national level and 6% lower than the state level

18

BMI: By Age

Residents aged 40-64 reported the lowest percentage of respondents at the normal BMI and reported 68% had a BMI over 25

19

Poor Physical Health: By Age

20

The age group 18-39 reported the most days when their physical health was good and 65+ reported the most days when physical health was not good.

Diagnosis

21

Cholesterol continues to be the highest diagnosed medical condition

High Cholesterol

Since 2005, there has been a slight decrease in the number of residents being diagnosed with high cholesterol and Story County is 10% lower than the state average.

22

Arthritis

21.9 % of all residents that live outside of Ames have been diagnosed with Arthritis.

23

High Blood Pressure

Story County is 4% lower than the state and national levels on residents diagnosed with high blood pressure.*

24

High Blood Pressure: By Age

Diagnosis of high blood pressure increases with age

25

Health Screening tests during the past two years, 2010

26

(women only) (men only)

Doctor

Last visited %

Within the past year 71.6

1 to 2 years 12.7

2 to 5 years 7.8

More than 5 years 6.6

Never had a routine check-up 1.3

Last visit to a DOCTOR for a

routine check-up

27

Last visit to a DENTIST for a routine check-up

Dentist

Last visited %


1 to 2 years 9.1

2 to 5 years 11.6



28

Traveled outside of Story County to obtain health care in the past 12 months

29

Higher percentage of residents living outside of Ames travel outside of the County for their health care


30


31

Household Income %

Under $25,000 38.0%

$25,000 – $49,999 20.3%

$50,000 – $74,999 13.6%

$75,000 – $99,999 12.9%

$100,000 – $124,999 7.8%

$125,000 – $149,999 2.8%

$150,000 – $199,999 2.9%

$200,000 or more 1.7%

Low-income residents are more likely to leave the county for their health care needs


32

Reasons %

Personal preferences 64.0

Referred by local medical practitioner 19.1

Lack of available care in Story County 13.9

To obtain a second opinion 5.3

Respondents who say they leave Story County for their health care needs reported that it was because of personal preferences

With any kind of Health care Coverage

33

Story County reports 93% of residents with some sort of health care coverage versus 90% at the state level and 85% at the national level.

Type of health insurance coverage

2005 vs. 2010

34

Those reporting that they had no means of insurance coverage has increased 5% since 2005

Dental Insurance

35

Dental Insurance

Story County has a high rate of dental insurance in those 18-64, but a less than 50% of those 65+ have dental insurance.

36 36

Age % Range

Less than 1 year 15.7 1 -2

1 to 2 years 28.8 1 -2

3 to 5 years 26.8 1 - 2

6 to 13 years 56.3 1 - 4

14 to 17 years 25.9 1 - 3

Children in the household

38

The highest percentage of kids in Story County are ages 6-13

Doctor

Last visited %


1 to 2 years 6.6

2 to 5 years 0.5


Never had a routine check-up -

Children‟s last visit to a DOCTOR

for routine check-up

39

99% of children reported having seen a doctor within the past 2 years for a routine checkup

Children‟s last visit to a DENTIST for

routine check-up

Dentist

Last visited %


1 to 2 years 2.1

2 to 5 years 0.4

More than 5 years -


40 40

Children‟s diagnosis

41

%

Asthma 12.3%

Type 2 diabetes -

Overweight 2.6%

%

Medical care 1.8

Dental care 2.9

Children‟s access to health care

Reasons for not getting medical/dental care for children High cost – 64.6% Too long a wait for an appointment – 30.6% Office wasn‟t open when I could get there – 14.5% Distance – 4.8%

Children needed care but could not get it

42

Rating of availability of services for children

Excellent

Good

Poor

43

Respondents with children rated these services as good to excellent

Recreational activities.

While recreational activities are available through City Hall, the cost prohibits many teens from participating.

Golfing, disc golfing, swimming and weightlifting at school were also mentioned.

Youth Focus Group

44

Services youth wish were available. Place for kids to hang out, like Waukee teen

dance.

More options that don‟t cost money.

More community festivals such as car or art shows.

Opportunities for poorer people such as Shoes That Fit.

Youth Focus Group

45

Connecting with other teens (Where and How)

School, sports practices and events, pool, mall, camps, school clubs, house parties and the library.

A girls group offered through YSS.

Boys and Girls Club is considered a place for “little kids,” not teens.

Teens make arrangements to get together via Facebook and texting, but then get together in person.

Youth Focus Group

46

Transportation

Transportation was not considered a barrier by participants, who cited the availability of bus service, bicycles, carpools, and friends with licenses (if a teen is not old enough to drive yet).

Youth Focus Group

47

Number of serving

Fruit/fruit juice

Dark green /orange vegetables

Other vegetables

0 11% 20% 15%

1 29% 36% 46%

2 35% 30% 30%

3 19% 10% 7%

4 7% 5% 3%

Number of fruit/vegetables servings taken yesterday

49

61% of respondents reported that they had 2-4 servings of fruit/fruit juice the previous day. 15% of respondents reported that they had 3+ servings of vegetables the previous day.

3 or more servings of fruit or fruit juices per day

50

Story County as a whole has decreased fruit or fruit juice servings by 8%.

50

Exercise in past week

51

32.7%

25.0%

42.3%

did less than the recommended 150 minutes

did more than the recommended 150 minutes

did more than 300 minutes

YES

Of those who said they had exercised in the past week, only 67% actually met the recommended amount of minutes.

Number of days of Exercise in the last week

52

Of those who said they had exercised in the past week, only 38% exercised the recommended amount of at least 3 days.

54

Cost (including prescription drugs) and difficulty in getting appointments were main barriers to health care and are significantly higher than 2005 data

0%

2%

4%

6%

8%

10%

12%

14%

16%

5%

7% 6%

5%

4%

15%

12% 12%

9%

6%

5%

2% 2005

2010

Difficulty making an appointment to see a doctor

55

Only 2.9% got hungry in the past 12 months because they can‟t afford to buy food.

Of those who got hungry, 85% got hungry once a week.

Access to Healthy Food

56

Sources %

Grocery store 98.6

Farmers market 21.1

Grow my own 19.2

Organic grocery store 9.7

Others (CSA, family, etc). 1.3

Local food pantry 1.1

Sources of fresh produce

57

Sources %

Community meals offered by churches or civic groups

7.0

Local food pantry 4.8

Home delivered meals 2.7

Congregate meals 2.5

Food pantry in another community 1.5

Community Resource for food

58

Prevent from eating properly

59

No reason stood out above the rest as the main factor that prevented a respondent from eating properly.

Rating of social environment

60

Rating of social environment in 2010

61 61

All communities rated their social environments from „average‟ to „good‟

Community Tolerance: Race

62 62

Community & Home Experience in past 5 years

% with (experience)

Crime Victim of a theft or other non-violent crime 18.9

Victim of a violent crime 0.1

Victim of domestic violence 0.1

Disaster preparedness

Family emergency plan in the event of a fire 53.2 Family emergency plan in case of a natural disaster 54.0

63

Problem of crime in your neighborhood

64

Residents report that crime is worse in Ames compared to outside of Ames and Story County

Perception on the quality of community services

Excellent

Good

Poor

Recreation/Parks Safety Housing Transportation 65

Poor Mental Health: Age

67

%

Very Adequate 8.0

Adequate 19.9

Uncertain 64.4

Inadequate 5.1

Very Inadequate 2.6

Adequacy of available resources for mental health treatment

68

Mean value= 2.74

69.7% of respondents felt rested most days

Stress level is 2.86 on a scale of 1-5 ◦ (1=no stress; 3=manageable amount of stress; to

5=unmanageable stress)

Sleep/Stress

69

%

Smoke cigarettes 9.8%

Smoke cigars or pipe on daily basis

2.7%

Use smokeless tobacco on daily basis

1.9%

Tobacco Use

70

Tried to Quit Smoking

71

Overall there was a 5% increase of individuals in Story County who tried to quit smoking.

71

Average Number Of Cigarettes Daily

72

Of those who smoke cigarettes, Men and those in the age range of 40-64 reported smoking the most cigarettes per day

2005 to 2010 Change in Smoking

73

% with Average

Have at least 1 alcoholic beverage in a day 70.2% 8.5 days/month

Have at 5 or more drinks on one occasion 31.0% 5.9 times in the past month

Alcohol Use

74

Sought professional help for alcohol use

Sought professional help %

Yes 2.3%

No 49.3%

I don‟t need it (never has an alcohol problem)

48.4%

75 75

Binge Drinking (5+on one occasion)

76

The highest percentage of binge drinking is among those in the 18-39 year-old age bracket. Males report 8% higher than women on binge drinking.

Binge Drinking (5 or more drinks on one occasion)

77

Only 3.1% have used prescription drug that was not prescribed in the past 30 days

3.9% used illegal drugs during the past 30 days

Drug Use

78

Marijuana Illegal Drugs (meth or cocaine)

Within the past year

2.3% 0.4%

Within the past 2 years

0.9% 0.1%

More than 2 years ago

21.0% 5.7%

Only .3% sought professional help; 58% said they did not have any problem

11% said Story County have adequate resources for those who want to quit drug use; 87% said don‟t know

Drug use resources

79

Project conducted by Iowa State University Extension and the ISU...

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