A Snapshot of Macomb
County’s Health Profile
Extracted from the Michigan
Behavioral Risk Factor
Surveillance System,
2012-2014
2015
MACOMB COUNTY HEALTH DEPARTMENT
MOUNT CLEMENS, MI 48043
1
Methods & County Overview ............................................................................................................................................... 2
Summary ................................................................................................................................................................................ 3
Macomb County Zip Code Regions..................................................................................................................................... 4
Macomb County Zip Code Region Summary ..................................................................................................................... 5
Macomb County Zip Code Region Rankings ..................................................................................................................... 6
Macomb County Zip Code Level Data ................................................................................................................................. 7
Access to Care: No Health Care Coverage ............................................................................................................... 7
Physical Activity: Activity Limitations ........................................................................................................................... 8
No Leisure Time Physical Activity ................................................................................................... 9
Communicable & HIV Testing .................................................................................................................................... 10
Infectious Disease: Flu Vaccine Among Adults >65 Years .......................................................................................... 11
Pneumonia Vaccine Among Adults >65 Years ............................................................................. 12
Chronic Disease: Heart Attack ................................................................................................................................... 13
Angina or Coronary Heart Disease ............................................................................................... 14
Cardiovascular Disease ................................................................................................................ 15
Stroke ............................................................................................................................................ 16
History of Asthma .......................................................................................................................... 17
Current Asthma ............................................................................................................................. 18
Diabetes ......................................................................................................................................... 19
Cancer ........................................................................................................................................... 20
General Health: General Health Status ................................................................................................................... 21
Physical Health ............................................................................................................................. 22
Mental Health ................................................................................................................................ 23
Preventative Care: Colorectal Cancer Screening ........................................................................................................ 24
No Routine Checkup in Past Year ................................................................................................ 25
Cigarette Smoking: Current Smoker ............................................................................................................................. 26
Former Smoker ............................................................................................................................. 27
Never Smoker ............................................................................................................................... 28
Social: Disability ........................................................................................................................................ 29
Weight Status: Healthy Weight .............................................................................................................................. 30
Overweight .................................................................................................................................... 31
Obese ............................................................................................................................................ 32
References .......................................................................................................................................................................... 33
Table of Contents
2
Methods Data was obtained in two ways. First, values for Michigan and Macomb County were extracted from the Michigan Behavioral Risk Factor Survey (MiBRFS) of Health Indicators and Risk Estimates by Community Health Assessment Regions & Local Health Departments for 2012-2014. This data was compiled into Table 1 to establish a visual comparison. Next, zip code level data for Macomb County from 2012-2014 MiBRFS was requested from Chris Fussman, Coordinator/ Epidemiologist for the Michigan Behavioral Risk Factor Surveillance System at the Michigan Department of Health and Human Services. Six zip code cluster cregions were established in Macomb County. Responses among residents from each region were analyzed and the results (Table 3) mapped using ArcGIS for each health indicator. The results for each health indicator were evaluated among the zip code regions and the regions then ranked by most favorable and least favorable (Table 4).
Macomb County According to the U.S. Census Bureau American Community Survey 2009-13 5-year estimates, a total of 845,197 people live within the 479.10 square miles that make up Macomb County. The population density for this area, estimated at 1,764.13 persons per square mile, is greater than the national average population density of 88.23 persons per square mile.
Report Area Total Population Total Land Area (Square Miles)
Population Density (Per Square Mile)
Macomb County 845,197 479.10 1,764.13
Michigan 9,886,095 56,523.93 174.9
Report Area White Black Asian Native American / Alaska Native
Native Hawaiian / Pacific Islander
Some Other Race
Multiple Races
Macomb County 84.64%
9.34% 3.24% 0.26% 0.03% 0.53% 1.97%
Michigan 79.31%
14.01% 2.54% 0.56% 0.02% 1.09% 2.47%
Methods & County Overview
3
Summary
Table 1. A Comparison of Risk Factors between the State of Michigan and Macomb County
from the Michigan Behavioral Risk Factor Survey, 2012-2014
Table 1. A Comparison of Health Indicator Values between Michigan and Macomb County from
the Michigan Behavioral Risk Factor Survey, 2012-2014
Health Indicator
Percent (%) Where MC
Ranks Better
than MI
Michigan (MI)
Macomb County
(MC)
Access to Care
No Health Care Coverage Among Those Aged 18-64 Years 15.6 14.7 *
Physical Activity
Activity Limitations on at Least 14 Days in the Past Month 8.9 7.0 *
No Leisure Time Physical Activity 24.4 24.4
Communicable & Infectious Disease
Ever Had HIV Test 40.6 39.3
Flu Vaccine in Past Year Among Adults 65 Years and Older 56.6 56.2
Ever Had Pneumonia Vaccine Among Adults 65 Years and Older 68.2 71.2 *
Chronic Disease
Ever Told Heart Attack 5.2 5.3
Ever Told Angina or Coronary Heart Disease 5.2 5.9
Ever Told Any Cardiovascular Disease 10.0 10.8
Ever Told Stroke 3.4 4.7
Ever Told Asthma 15.8 17.2
Current Asthma 11.0 11.4
Ever Told Diabetes 10.4 8.5 *
Ever Told Cancer 12.2 12.4
General Health
General Health, Fair or Poor 17.2 17.2
Poor Physical Health on at Least 14 Days in the Past Month 12.9 11.0 *
Poor Mental Health on at Least 14 Days in the Past Month 12.6 12.0 *
Preventative Care
Colorectal Cancer Screening Among Adults 50 Years and Older 68.6 71.5 *
No Routine Checkup in Past Year 30.6 29.6 *
Cigarette Smoking
Current Smoking 22.0 25.3
Former Smoking 26.5 26.0
Never Smoked 51.5 48.7
Social
Have Disability 25.0 23.6 *
Weight Status
Healthy Weight 32.6 32.0
Overweight 34.7 33.1 *
Obese 31.1 33.1
4
Table 2. Zip Code Cluster Regions Established in Macomb County to Analyze
Risk Factor Data from the Michigan Behavioral Risk Factor Survey, 2012-2014
Figure 1. Zip Code Regions Established in Macomb
County to Analyze Risk Factor Data from the Michigan
Behavioral Risk Factor Survey, 2012-2014
Zip Code Region
Zip Code City
1
48035 Clinton Township
48036 Clinton Township
48038 Clinton Township
48045 Harrison Township
48026 Fraser
48043 Mount Clemens
2
48047 New Baltimore
48051 New Baltimore
48005 Armada
48050 Lenox
48048 New Haven
48096 Ray Township
48065 Bruce
48062 Richmond
3
48094 Washington Township
48095 Washington Township
48042 Macomb
48044 Macomb
48315 Shelby Township
48316 Shelby Township
48317 Shelby Township
4
48080 St. Clair Shores
48081 St. Clair Shores
48082 St. Clair Shores
48021 Eastpointe
48066 Roseville
5
48015 Center Line
48088 Warren
48089 Warren
48091 Warren
48092 Warren
48093 Warren
6
48310 Sterling Heights
48312 Sterling Heights
48313 Sterling Heights
48314 Sterling Heights
48315 Utica
48317 Utica
Macomb County Zip Code Regions
5
Table 3. A compilation of Health Indicator Data by Zip Code Region in Macomb County from the Michigan Behavioral
Risk Factor Survey, 2012-2014
Health Indicator Percent (%) by Zip Code Region
1 2 3 4 5 6
Access to Care
No Health Care Coverage Among Those Aged 18-64 Years 10.5 - 8.6 12.3 13.2 13.0
Physical Activity
Activity Limitations on at Least 14 Days in the Past Month 8.7 6.3 - 8.2 8.2 6.0
No Leisure Time Physical Activity 22.2 28.4 18.6 28.1 29.2 23.0
Communicable & Infectious Disease
Ever Had HIV Test 33.3 28.4 30.1 44.0 38.0 30.2
Flu Vaccine in Past Year Among Adults 65 Years and Older 54.3 58.6 55.9 48.3 60.3 66.1
Ever Had Pneumonia Vaccine Among Adults 65 Years and Older 69.0 69.8 69.4 71.8 71.2 83.7
Chronic Disease
Ever Told Heart Attack 4.6 - 6.1 6.6 6.6 6.1
Ever Told Angina or Coronary Heart Disease 5.2 7.4 5.6 5.2 7.2 6.5
Ever Told Any Cardiovascular Disease 10.2 9.2 8.9 10.6 12.0 11.2
Ever Told Stroke 5.4 - - 5.0 5.7 -
Ever Told Asthma 18.4 17.7 15.9 17.7 19.7 16.4
Current Asthma 11.4 16.5 8.5 11.4 12.5 11.9
Ever Told Diabetes 9.3 6.7 5.7 7.7 11.3 9.1
Ever Told Cancer 14.8 12.6 12.8 9.4 12.1 11.7
General Health
General Health, Fair or Poor 19.5 20.3 12.3 17.8 19.5 15.3
Poor Physical Health on at Least 14 Days in the Past Month 13.6 10.4 8.1 15.5 12.6 7.2
Poor Mental Health on at Least 14 Days in the Past Month 14.6 8.7 8.0 16.9 14.2 7.4
Preventative Care
Colorectal Cancer Screening Among Adults 50 Years and Older 74.3 76.5 71.9 71.6 74.9 78.3
No Routine Checkup in Past Year 28.9 25.3 31.9 29.8 30.1 30.1
Cigarette Smoking
Current Smoking 24.6 31.0 15.8 33.1 33.9 19.0
Former Smoking 31.0 21.7 27.7 25.2 21.6 25.7
Never Smoked 44.4 47.3 47.3 41.7 44.5 55.3
Social
Have Disability 24.2 26.5 19.5 26.7 29.6 18.5
Weight Status
Healthy Weight 35.9 25.5 34.8 28.3 28.9 31.7
Overweight 30.5 30.5 34.8 35.8 37.1 33.3
Obese 33.4 35.7 29.1 33.4 32.3 31.2
Macomb County Zip Code Region Summary
6
Macomb County Zip Code Region Ranking
Table 4. Ranking of the Most and Least Favorable Regions in Macomb County for each Health
Indicator from the Michigan Behavioral Risk Factor Survey, 2012-2014
Health Indicator Most
Favorable Region
Least Favorable
Region
Access to Care
No Health Care Coverage Among Those Aged 18-64 Years 3 5
Physical Activity
Activity Limitations on at Least 14 Days in the Past Month 6 1
No Leisure Time Physical Activity 3 5
Communicable & Infectious Disease
Ever Had HIV Test 4 2
Flu Vaccine in Past Year Among Adults 65 Years and Older 6 4
Ever Had Pneumonia Vaccine Among Adults 65 Years and Older 6 1
Chronic Disease
Ever Told Heart Attack 1 4,5
Ever Told Angina or Coronary Heart Disease 1,4 2
Ever Told Any Cardiovascular Disease 3 5
Ever Told Stroke 4 5
Ever Told Asthma 3 5
Current Asthma 3 5
Ever Told Diabetes 3 5
Ever Told Cancer 4 1
General Health
General Health, Fair or Poor 3 2
Poor Physical Health on at Least 14 Days in the Past Month 6 4
Poor Mental Health on at Least 14 Days in the Past Month 6 4
Preventative Care
Colorectal Cancer Screening Among Adults 50 Years and Older 6 4
No Routine Checkup in Past Year 2 3
Cigarette Smoking
Current Smoking 3 5
Former Smoking 1 5
Never Smoked 6 4
Social
Have Disability 3 5
Weight Status
Healthy Weight 1 2
Overweight 1,2 5
Obese 3 2
7
Key Points
Of the 1,890 Macomb County residents
surveyed, 85.3% stated they had health
care coverage.
In Michigan, 84.4% of individuals
surveyed stated they had health care
coverage.
Region 3 of Macomb County reported
the highest rate of health care coverage,
at 91.4%, with 8.6% having no health
care coverage.
Region 5 of Macomb County reported
the highest rate of uninsured individuals
at 13.2%.
Figure 2. No Health Care Coverage Among Those Aged 18-64
Years Old by Zip Code Region in Macomb County, 2012-2014
Table 5. No Health Care Coverage Among
Those Aged 18-64 Years by Zip Code
Region in Macomb County, 2012-2014
Macomb County Zip
Code Regions
Percent (%)
95% Confidence
Interval
Region 1 10.5 (7.0-15.4)
Region 2 - -
Region 3 8.6 (4.8-14.7)
Region 4 12.3 (7.7-19.1)
Region 5 13.2 (8.8-19.3)
Region 6 13.0 (8.9-18.6)
No Health Care Coverage
8
Key Points
Of the 1,880 Macomb County residents surveyed, 93.0% stated they had activity limitations less than 13 days of the month.
In Michigan, 91.1% of individuals surveyed stated they had activity limitations for less than 13 days in the month.
Region 6 of Macomb County reported the least amount of activity limitations at 6% of individuals reporting activity limitations greater than 14 days.
Region 1 of Macomb County reported the highest amount of activity limitations at 8.7% of individuals reporting activity limitations greater than 14 days.
Table 6. Activity Limitations on at Least 14
Days in the Past Month by Zip Code Region
for Macomb County Residents, 2012-2014
Figure 3. Activity Limitations on at Least 14 Days in the Past
Month by Zip Code Region for Macomb County Residents,
2012-2014
1
Macomb County Zip
Code Regions
Percent (%)
95% Confidence
Interval
Region 1 8.7 (5.8-13.1)
Region 2 6.3 (3.6-10.9)
Region 3 - -
Region 4 8.2 (5.3-12.4)
Region 5 8.2 (5.2-12.7)
Region 6 6.0 (3.9-9.1)
Activity Limitations
9
Key Points
Of the 1,861 Macomb county residents
surveyed, 24.4% stated they had no
leisure time physical activity.
In Michigan, 24.4% of individuals
surveyed stated they had no leisure time
physical activity.
Region 3 of Macomb County reported
the highest rate of leisure time physical
activity, with 81.4% of residents
participating.
Region 5 of Macomb County reported
the lowest rate of individuals
participating in leisure time physical
activity, at 70.8%.
Table 7. No Leisure Time Physical
Activity by Zip Code Region for Macomb
County Residents, 2012-2014
Figure 4. No Leisure Time Physical Activity by Zip Code Region
for Macomb County Residents, 2012-2014
Macomb County Zip
Code Regions
Percent (%)
95% Confidence
Interval
Region 1 22.2 (17.2-28.1)
Region 2 28.4 (20.5-38.0)
Region 3 18.6 (13.2-25.5)
Region 4 28.1 (22.4-34.6)
Region 5 29.2 (23.1-36.0)
Region 6 23.0 (18.3-28.5)
No Leisure Time Physical Activity
10
Table 8. Ever Had an HIV Test by Zip
Code Region for Macomb County
Residents, 2012-2014
Figure 5. Ever Had a HIV Test by Zip Code Region for Macomb
County Residents, 2012-2014
Key Points
Of the 1,767 Macomb County residents surveyed, 39.3% stated they have had an HIV test.
In Michigan, 40.6% of individuals surveyed stated they had received an HIV test.
Region 4 of Macomb County reported the highest rate of HIV Testing, at 44.0%
Region 2 of Macomb County reported the lowest rate of HIV Testing at 28.4%.
Macomb County
Zip Code Regions
Percent (%)
95% Confidence
Interval
Region 1 33.3 (27.1-40.3)
Region 2 28.4 (20.9-37.3)
Region 3 30.1 (23.6-37.6)
Region 4 44.0 (36.9-51.4)
Region 5 38.0 (31.2-45.3)
Region 6 30.2 (24.5-36.5)
HIV Testing
11
Key Points
Of the 619 Macomb County residents surveyed, 56.2% stated they had received a flu vaccine in the past year.
In Michigan, 56.6% of individuals surveyed stated they had received a flu vaccine in the past year.
Region 6 of Macomb County reported the highest rate of flu vaccines received, at 66.1%.
Region 4 of Macomb County reported the lowest rate of flu vaccines received at 48.3%.
Figure 6. Residents 65 Years and Older Who Have Had a
Flu Vaccine in the Past Year by Zip Code Region for
Macomb County Residents, 2012-2014
Table 9. Residents 65 Years and Older
Who Have Had a Flu Vaccine in the Past
Year by Zip Code Region for Macomb
County Residents, 2012-2014
Macomb County
Zip Code Regions
Percent (%)
95% Confidence
Interval
Region 1 54.3 (44.9-63.4)
Region 2 58.6 (43.5-72.2)
Region 3 55.9 (43.8-67.2)
Region 4 48.3 (36.4-60.4)
Region 5 60.3 (48.8-70.8)
Region 6 66.1 (55.2-75.5)
Flu Vaccine Among Adults >65 Years
12
Figure 7. Residents 65 Years and Older Who Have Had a
Pneumonia Vaccine in the Past Year by Zip Code Region for
Macomb County Residents, 2012-2014
Key Points
Of the 603 Macomb County residents
surveyed, 71.2% stated they had ever
received a pneumonia vaccine.
In Michigan, 68.2% of individuals surveyed stated they had ever received a pneumonia vaccine.
Region 6 of Macomb County reported the highest rate of pneumonia vaccines, at 83.7%.
Region 1 of Macomb County reported the lowest rate of pneumonia vaccines at 69.0%.
Table 10. Residents 65 Years and
Older Who Have Had a Pneumonia
Vaccine in the Past Year by Zip Code
Region for Macomb County Residents,
2012-2014
Macomb County Zip
Code Regions
Percent (%)
95% Confidence
Interval
Region 1 69.0 (59.6-77.0)
Region 2 69.8 (54.1-81.9)
Region 3 69.4 (56.8-79.6)
Region 4 71.8 (60.2-81.0)
Region 5 71.2 (59.9-80.5)
Region 6 83.7 (74.8-89.8)
Pneumonia Vaccine Among Adults >65 Years
13
Key Points
Of the 1,892 Macomb County residents
surveyed, 5.3% stated they had ever been
told they had a heart attack.
In Michigan, 5.2% of individuals surveyed
stated they had ever been told they had a
heart attack.
Region 6 of Macomb County reported the
highest rate of individuals who had been
told they had a heart attack, at 6.6%
Region 4 of Macomb County reported the
lowest rate of individuals who had been
told they had a heart attack at 3.7%
Table 11. Ever Told Heart Attack by Zip
Code Region for Macomb County
Residents, 2012-2014
Figure 8. Ever Told Heart Attack by Zip Code Region for
Macomb County Residents, 2012-2014
Macomb County
Zip Code Regions
Percent (%)
95% Confidence
Interval
Region 1 4.6 (3.1-6.8)
Region 2 - -
Region 3 6.1 (3.6-9.9)
Region 4 3.7 (2.1-6.5)
Region 5 6.6 (4.0-10.6)
Region 6 6.1 (4.0-9.2)
Heart Attack
14
Key Points
Of the 1,879 Macomb County residents surveyed, 5.9% stated they had ever been told they had coronary heart disease (CHD).
In Michigan, 5.2% of individuals surveyed stated they had ever been told they had coronary heart disease (CHD).
Region 2 of Macomb County reported the highest rate of individuals who have ever been told they had coronary heart disease (CHD), at 7.4%.
Region 1 and 4 of Macomb County reported the lowest rate of individuals who have ever been told they had coronary heart disease (CHD) at 5.2% each.
Table 12. Ever Told Angina or Coronary
Heart Disease by Zip Code Region for
Macomb County Residents, 2012-2014
Figure 9. Ever Told Angina or Coronary Heart Disease by Zip
Code Region for Macomb County Residents, 2012-2014
Macomb County
Zip Code Regions
Percent (%)
95% Confidence
Interval
Region 1 5.2 (3.3-8.2)
Region 2 7.4 (4.1-12.9)
Region 3 5.6 (3.3-9.3)
Region 4 5.2 (3.2-8.3)
Region 5 7.2 (4.6-11.2)
Region 6 6.5 (4.2-9.8)
Angina or Coronary Heart Disease
15
Key Points
Of the 1,884 Macomb County residents surveyed, 10.8% stated they had ever been told they had cardiovascular disease.
In Michigan, 10.0% of individuals surveyed stated they had ever been told they had cardiovascular disease.
Region 5 of Macomb County reported the highest rate of cardiovascular disease, at 12.0%.
Region 3 of Macomb County reported the lowest rate of cardiovascular disease at 8.9%.
Figure 10. Ever Told Any Cardiovascular Disease by Zip Code
Region for Macomb County Residents, 2012-2014
Table 13. Ever Told Any Cardiovascular
Disease by Zip Code Region for Macomb
County Residents, 2012-2014
Macomb County Zip
Code Regions
Percent (%)
95% Confidence
Interval
Region 1 10.2 (7.4-13.9)
Region 2 9.2 (5.6-14.7)
Region 3 8.9 (5.9-13.1)
Region 4 10.6 (7.5-14.8)
Region 5 12.0 (8.5-16.6)
Region 6 11.2 (8.0-15.6)
Cardiovascular Disease
16
Key Points
Of the 1,335 Macomb County residents surveyed, 4.7% stated they had ever been told they had a stroke.
In Michigan, 3.4% of individuals surveyed stated they had ever been told they had cardiovascular disease.
Region 5 of Macomb County reported the highest rate of stroke, at 5.7%.
Region 4 of Macomb County reported the lowest rate of cardiovascular disease at 5.0%.
Figure 11. Ever Told Stroke by Zip Code Region for Macomb
County Residents, 2012-2014
Table 14. Ever Told Stroke by Zip
Code Region for Macomb County
Residents, 2012-2014
Macomb County
Zip Code Regions
Percent (%)
95% Confidence
Interval
Region 1 5.4 (3.3-8.7)
Region 2 - -
Region 3 - -
Region 4 5.0 (2.8-8.8)
Region 5 5.7 (3.4-9.2)
Region 6 - -
Stroke
17
Key Points
Of the 1,892 Macomb County residents surveyed, 17.2% stated they had ever been told they had asthma.
In Michigan, 15.8% of individuals surveyed stated they had ever been told they had asthma.
Region 5 of Macomb County reported the highest rates of individuals who had been told they had asthma, at 19.7%.
Region 3 of Macomb County reported the lowest rate individuals who had been told they had asthma at 15.9%.
Table 15. Ever Told Asthma Among
Macomb County Residents by Zip Code
Region, 2012-2014
Figure 12. Ever Told Asthma Among Macomb County
Residents by Zip Code Region, 2012-2014
Macomb County
Zip Code Regions
Percent (%)
95% Confidence
Interval
Region 1 18.4 (13.4-24.8)
Region 2 17.7 (11.0-27.3)
Region 3 15.9 (11.4-21.8)
Region 4 17.7 (13.0-23.8)
Region 5 19.7 (14.4-26.2)
Region 6 16.4 (12.0-22.2)
History of Asthma
18
Key Points
Of the 1,881 Macomb County residents surveyed, 11.4% stated they currently had asthma.
In Michigan, 11.0% of individuals surveyed stated they currently had asthma.
Region 2 of Macomb County reported the highest rate of asthma, at 16.5%.
Region 3 of Macomb County reported the lowest rate of asthma at 8.5%.
Figure 13. Current Asthma among Macomb County Residents
by Zip Code Region, 2012-2014
Table 16. Current Asthma Among
Macomb County Residents by Zip
Code Region, 2012-2014
Macomb County
Zip Code Regions
Percent (%)
95% Confidence
Interval
Region 1 11.4 (7.4-17.2)
Region 2 16.5 (9.9-26.3)
Region 3 8.5 (5.7-12.5)
Region 4 11.4 (7.6-16.6)
Region 5 12.5 (8.7-17.6)
Region 6 11.9 (8.1-17.0)
Current Asthma
19
Key Points
Of the 1,893 Macomb County residents surveyed, 8.5% stated they had ever been told they had diabetes.
In Michigan, 10.4% of individuals surveyed stated they had ever been told they had diabetes.
Region 5 of Macomb County reported the highest rate of diabetes, at 11.3%.
Region 3 of Macomb County reported the lowest rate of diabetes at 5.7%.
Figure 14. Ever Told Diabetes Among Macomb County
Residents by Zip Code Region, 2012-2014
Table 17. Ever Told Diabetes Among
Macomb County Residents by Zip Code
Region, 2012-2014
Macomb County
Zip Code Regions
Percent (%)
95% Confidence
Interval
Region 1 9.3 (6.2-13.6)
Region 2 6.7 (4.1-10.6)
Region 3 5.7 (3.4-9.3)
Region 4 7.7 (5.0-11.8)
Region 5 11.3 (7.9-15.9)
Region 6 9.1 (6.7-12.4)
Diabetes
20
Key Points
Of the 1,891 Macomb County residents surveyed, 12.4% stated they had ever been told they had cancer.
In Michigan, 12.2% of individuals surveyed stated they had ever been told they had cancer.
Region 1 of Macomb County reported the highest rate of individuals who had been told they had cancer, at 14.8%.
Region 4 of Macomb County reported the lowest rate of individuals who had even been told they had cancer at 9.4%.
Figure 15. Ever Told Cancer Among Macomb County
Residents by Zip Code Region, 2012-2014
Table 18. Ever Told Cancer Among
Macomb County Residents by Zip Code
Region, 2012-2014
Macomb County Zip
Code Regions
Percent (%)
95% Confidence
Interval
Region 1 14.8 (11.2-19.4)
Region 2 12.6 (8.4-18.4)
Region 3 12.8 (9.5-17.0)
Region 4 9.4 (6.6-13.3)
Region 5 12.1 (8.6-16.7)
Region 6 11.7 (8.7-15.5)
Cancer
21
Key Points
Of the 1,894 Macomb County residents
surveyed, 17.2% stated their general
health status was fair or poor.
In Michigan, 17.2% of individuals
surveyed stated their general health
status was fair or poor.
Region 2 of Macomb County reported the
highest rate of individuals in fair or poor
health, at 20.3%.
Region 3 of Macomb County reported the
lowest rate of individuals in fair or poor
health at 12.3%.
Figure 16. General Health Status, Fair or Poor Among
Macomb County Residents by Zip Code Region, 2012-2014
Table 19. General Health Status, Fair or
Poor Among Macomb County Residents by
Zip Code Region, 2012-2014
Macomb County Zip
Code Regions
Percent (%)
95% Confidence
Interval
Region 1 19.5 (14.6-25.5)
Region 2 20.3 (13.3-29.6)
Region 3 12.3 (8.5-17.6)
Region 4 17.8 (13.3-23.3)
Region 5 19.5 (14.8-25.2)
Region 6 15.3 (11.6-19.9)
General Health Status
22
Table 20. Poor Physical Health on at
Least 14 Days in the Past Month
Among Macomb County Residents by
Zip Code Region, 2012-2014
Figure 17. Poor Physical Health on at Least 14 Days in the
Past Month Among Macomb County Residents by Zip Code
Region, 2012-2014
Key Points
Of the 1,878 Macomb County residents
surveyed, 11.0% stated they had poor
physical health on at least 14 days in the
past month.
In Michigan, 12.9% of individuals
surveyed stated they had poor physical
health on at least 14 days in the past
month.
Region 4 of Macomb County reported the
highest rate of poor physical health on at
least 14 days in the past month, at 15.5%
Region 6 of Macomb County reported the
lowest rate of poor physical health on at
least 14 days in the past month, at 7.2%
Macomb County Zip
Code Regions
Percent (%)
95% Confidence
Interval
Region 1 13.6 (9.8-18.5)
Region 2 10.4 (6.5-16.2)
Region 3 8.1 (5.4-12.1)
Region 4 15.5 (11.1-21.1)
Region 5 12.6 (8.9-17.5)
Region 6 7.2 (5.0-10.3)
Physical Health
23
Key Points
Of the 1,873 of the Macomb County residents surveyed, 12.0% stated they had poor mental health on at least 14 days in the past month.
In Michigan, 12.6% of individuals surveyed stated they poor mental health on at least 14 days in the past month.
Region 4 of Macomb County reported the highest rate of poor mental health on at least 14 days in the past month, at 16.9%.
Region 6 of Macomb County reported the lowest rate of poor mental health on at least 14 days in the past month at 7.4%.
Figure 18. Poor Mental Health on at Least 14 Days in the Past
Month Among Macomb County Residents by Zip Code Region,
2012-2014
Table 21. Poor Mental Health on at
Least 14 Days in the Past Month
Among Macomb County Residents by
Zip Code Region, 2012-2014
Macomb County
Zip Code Regions
Percent (%)
95% Confidence
Interval
Region 1 14.6 (10.7-19.7)
Region 2 8.7 (4.9-14.9)
Region 3 8.0 (4.8-13.0)
Region 4 16.9 (12.1-23.1)
Region 5 14.2 (9.6-20.5)
Region 6 7.4 (5.0-10.9)
Mental Health
24
Key Points
Of the 718 Macomb County residents surveyed, 71.5% stated they had received the appropriate colorectal cancer screening.
In Michigan, 68.6% of individuals surveyed stated they had received the appropriate colorectal cancer screening.
Region 6 of Macomb County reported the highest rate of appropriate colorectal cancer screenings at 78.3%.
Region 4 of Macomb County reported the lowest rate of appropriate colorectal cancer screenings at 71.6%.
Figure 19. Adults 50 Years and Older in Macomb County
Reporting by Zip Code Region Having Had a Sigmoidoscopy
in the Past 5 Years or Colonoscopy in the Past 10 Years,
2012-2014
Table 22. Proportion of Adults 50 Years and
Older Reporting by Zip Code Region Having
Had a Sigmoidoscopy in the Past 5 Years or
Colonoscopy in the Past 10 Years among
Macomb County Residents, 2012-2014
Macomb County Zip
Code Regions
Percent (%)
95% Confidence
Interval
Region 1 74.3 (65.2-81.7)
Region 2 76.5 (61.8-86.8)
Region 3 71.9 (61.5-80.3)
Region 4 71.6 (59.9-81.0)
Region 5 74.9 (64.1-83.3)
Region 6 78.3 (69.1-85.3)
Colorectal Cancer Screening
25
Key Points
Of the 1,878 Macomb County residents
surveyed, 29.6% stated they did not have
a health checkup within the past year.
In Michigan, 30.6% of individuals
surveyed stated they did not have a
health checkup within the past year.
Region 2 of Macomb County reported the
highest rate of health checkups within the
past year, at 74.7%.
Region 3 of Macomb County reported the
lowest rate of health checkups within the
past year at 68.1%.
Figure 20. No Routine Checkup in Past Year Among
Macomb County Residents by Zip Code Region, 2012-2014
Table 23. No Routine Checkup in Past
Year Among Macomb County Residents
by Zip Code Region, 2012-2014
Macomb County Zip
Code Regions
Percent (%)
95% Confidence
Interval
Region 1 28.9 (23.2-35.3)
Region 2 25.3 (18.4-33.6)
Region 3 31.9 (25.1-39.6)
Region 4 29.8 (23.6-36.8)
Region 5 30.1 (23.7-37.5)
Region 6 30.1 (24.2-36.7)
No Routine Checkup in Past Year
26
Key Points
Of the 1,869 Macomb County residents
surveyed, 25.3% stated they are a
current smoker.
In Michigan, 22.0% of individuals
surveyed stated they are a current
smoker.
Region 5 of Macomb County reported the
highest rate of current smokers, at
33.9%.
Region 3 of Macomb County reported the
lowest rate of current smokers, at 15.8%.
Figure 21. Current Smokers Among Macomb County
Residents by Zip Code Region, 2012-2014
Table 24. Current Smokers Among
Macomb County Residents by Zip
Code Region, 2012-2014
Macomb County Zip
Code Regions
Percent (%)
95% Confidence
Interval
Region 1 24.6 (19.1-30.9)
Region 2 31.0 (22.6-40.8)
Region 3 15.8 (10.7-22.6)
Region 4 33.1 (26.8-40.1)
Region 5 33.9 (26.9-41.6)
Region 6 19.0 (14.2-24.9)
Cigarette Smoking: Current Smoker
27
Key Points
Of the 1,869 Macomb County residents
surveyed, 26.0% stated they were a
former smoker.
In Michigan, 26.5% of survey participants
stated they are a former smoker.
Region 1 of Macomb County reported the
highest rate of former smokers, at 31.0%.
Region 5 of Macomb County reported the
lowest rate of former smokers, at 21.6%.
Figure 22. Former Smokers Among Macomb County
Residents by Zip Code Region, 2012-2014
Table 25. Former Smokers Among
Macomb County Residents by Zip
Code Region, 2012-2014
Macomb County Zip
Code Regions
Percent (%)
95% Confidence
Interval
Region 1 31.0 (25.2-37.6)
Region 2 21.7 (15.8-29.0)
Region 3 27.7 (21.9-34.2)
Region 4 25.2 (20.0-31.2)
Region 5 21.6 (16.9-27.1)
Region 6 25.7 (20.8-31.2)
Cigarette Smoking: Former Smoker
28
Key Points
Of the 1,869 Macomb County residents
surveyed, 48.7% stated they have never
smoked.
In Michigan, 51.5% of survey participants
stated they have never smoked.
Region 6 of Macomb County reported the
highest rate of individuals who have
never smoked, at 55.3%.
Region 4 of Macomb County reported the
lowest rate of individuals who have never
smoked at 41.7%.
Figure 23. Never Smoked as Stated by Macomb County
Residents by Zip Code Region, 2012-2014
Table 26. Never Smoked as Stated by
Macomb County Residents by Zip
Code Region, 2012-2014
Macomb County Zip
Code Regions
Percent (%)
95% Confidence
Interval
Region 1 44.4 (38.0-51.0)
Region 2 47.3 (38.7-56.1)
Region 3 56.6 (49.2-63.7)
Region 4 41.7 (34.8-48.9)
Region 5 44.5 (37.5-51.8)
Region 6 55.3 (49.0-61.5)
Cigarette Smoking: Never Smoked
29
Figure 24. Macomb County Residents with Disability by Zip
Code Region, 2012-2014
Key Points
Of the 1,875 Macomb County residents
surveyed, 23.6% stated they have a
disability.
In Michigan, 25.0% of individuals
surveyed stated they have a disability.
Region 5 of Macomb County reported the
highest rate of individuals with a
disability, at 29.6%.
Region 6 of Macomb County reported the
lowest rate of individuals with a disability
at 18.5%.
Table 27. Macomb County Residents
with Disability by Zip Code Region,
2012-2014
Macomb County Zip
Code Regions
Percent (%)
95% Confidence
Interval
Region 1 24.2 (19.4-29.6)
Region 2 26.5 (19.7-34.5)
Region 3 19.5 (14.7-25.5)
Region 4 26.7 (21.1-33.3)
Region 5 29.6 (23.4-36.6)
Region 6 18.5 (14.4-23.4)
Disability
30
Figure 25. Healthy Weight Status Among Macomb County
Residents by Zip Code Region, 2012-2014
Key Points
Of the 1,811 Macomb County residents
surveyed, 32.0% stated they are a
healthy weight.
In Michigan, 32.6% of individuals
surveyed stated they are a healthy
weight.
Region 1 of Macomb County reported the
highest rate of healthy weight individuals,
at 35.9%.
Region 2 of Macomb County reported the
lowest rate of healthy weight individuals,
at 25.5%.
Table 28. Healthy Weight Status Among
Macomb County Residents by Zip Code
Region, 2012-2014
Macomb County
Zip Code Regions
Percent (%)
95% Confidence
Interval
Region 1 35.9 (29.7-42.7)
Region 2 25.5 (18.7-33.7)
Region 3 34.8 (27.8-42.6)
Region 4 28.3 (22.1-35.4)
Region 5 28.9 (22.6-36.3)
Region 6 31.7 (26.1-37.9)
Weight Status: Healthy Weight
31
Figure 26. Macomb County Residents that are Overweight by
Zip Code Region, 2012-2014
Key Points
Of the 1,811 Macomb County residents
surveyed, 33.1% of individuals stated that
they are overweight.
In Michigan, 34.7% of survey participants
stated that they are overweight.
Region 5 of Macomb County reported the
highest rate of overweight individuals, at
37.1%.
Region 3 of Macomb County reported the
lowest rate of overweight individuals, at
29.1%.
Table 29. Macomb County Residents
that are Overweight by Zip Code
Region, 2012-2014
Macomb County
Zip Code Regions
Percent (%)
95% Confidence
Interval
Region 1 30.5 (24.9-36.8)
Region 2 37.6 (29.6-46.3)
Region 3 34.8 (28.3-41.9)
Region 4 33.4 (27.1-40.4)
Region 5 32.3 (26.1-39.3)
Region 6 33.3 (27.6-39.5)
Weight Status: Overweight
32
Figure 27. Macomb County Residents that are Obese by
Zip Code Region, 2012-2014
Key Points
Of the 1,811 Macomb County residents
surveyed, 33.1% stated that they are
obese.
In Michigan, 31.1% of individuals stated
that they are obese.
Region 3 of Macomb County reported the
highest rate of obese individuals, at
34.8%.
Region 1 and 2 of Macomb County both
reported the lowest rate of obese
individuals at 30.5%.
Table 30. Macomb County Residents that
are Overweight by Zip Code Region,
2012-2014
Macomb County
Zip Code Regions
Percent (%)
95% Confidence
Interval
Region 1 33.4 (27.1-40.4)
Region 2 35.7 (27.1-45.3)
Region 3 29.1 (23.0-36.1)
Region 4 35.8 (29.3-42.7)
Region 5 37.1 (30.4-44.4)
Region 6 31.2 (25.9-37.2)
Weight Status: Obese
33
Fussman, C. 2015. Health Risk Behaviors within the State of Michigan: 2014 Behavioral Risk Factor Survey. 28th
Annual Report. Lansing, MI: Michigan Department of Health and Human Services, Lifecourse
Epidemiology and Genomics Division, Chronic Disease Epidemiology Section.
Fussman, C. 2015. Michigan Behavioral Risk Factor Survey: Health Indicator and Risk Estimates by Community
Health Assessment Regions & Local Health Departments, 2012-2014. Lansing, MI: Michigan Department
of Health and Human Services, Lifecourse Epidemiology and Genomics Division, Chronic Disease
Epidemiology Section.
References
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